Kidney, acute tubular necrosis (ATN): Difference between revisions
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*Common causes of ATN include shock, and nephrotoxic drugs. | *Common causes of ATN include shock, and nephrotoxic drugs. | ||
*ATN is a diagnosis ''usually'' made clinically by: presence of AKI + presence of a known cause of ATN + urine electrolytes showing consistent findings (e.g. fractional excretion of sodium of >1%) + urine sediment showing lots of renal tubular epithelial cells. | *ATN is a diagnosis ''usually'' made clinically by: presence of AKI + presence of a known cause of ATN + urine electrolytes showing consistent findings (e.g. fractional excretion of sodium of >1%) + urine sediment showing lots of renal tubular epithelial cells. | ||
*If you use this code, there is no absolute requirement to also code one of the AKI/ARF codes, though you can if you want to. | *If you use this code, there is no absolute requirement to also code one of the AKI/ARF codes, though you can if you want to -- and if you do choose to do so you should combine it with the AKI/ARF code. | ||
{{ICD10 Guideline ESRD vs Acute renal failure}} | {{ICD10 Guideline ESRD vs Acute renal failure}} | ||
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** What is special about this dx that would have you not code it? Is it that you are wondering whether coding a CCI means you don't have to code a dx? They are different things, you would still need to code the dx. Am I misunderstanding the question? Ttenbergen 07:09, 2018 December 14 (CST) | ** What is special about this dx that would have you not code it? Is it that you are wondering whether coding a CCI means you don't have to code a dx? They are different things, you would still need to code the dx. Am I misunderstanding the question? Ttenbergen 07:09, 2018 December 14 (CST) | ||
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== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Renal failure}} | {{ListICD10Category | categoryName = Renal failure}} | ||