Renal Coding Considerations (old): Difference between revisions
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== Data Integrity Rules == | == Data Integrity Rules == | ||
If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must not appear in Admit/Acquired codes | If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must '''not''' appear in Admit/Acquired codes | ||
* [[ARI]] (364-00) | * [[ARI]] (364-00) | ||
* [[Acute Tubular Necrosis | ATN]] (352-00) | * [[Acute Tubular Necrosis | ATN]] (352-00) | ||
* [[ARF (Diagnosis)]] (350 **) | * [[ARF (Diagnosis)]] (350 **) | ||
Dialysis task is required if | |||
* LOS >= 3 | |||
* CRF is present | |||
* Transplant is not present | |||
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. | These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. | ||
Revision as of 15:08, 27 August 2009
These checks are currently done partly by Pagasa (! Automated Data Integrity Checks) and are about to be implemented in CCMDB.mdb.
Data Integrity Rules
If comorbid CRF (351-00) exists then the following must not appear in Admit/Acquired codes
- ARI (364-00)
- ATN (352-00)
- ARF (Diagnosis) (350 **)
Dialysis task is required if
- LOS >= 3
- CRF is present
- Transplant is not present
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
- If comorbid CRF - Chronic Renal Failure exists, the ARF box in Apache Lab must not be checked.
About to implement that. Ttenbergen 14:05, 27 August 2009 (CDT)
discussion
Template:Discussion When these are addressed, please edit Requested CCMDB changes for the next version to state the discussion is done so the checks can be implemented in CCMDB.mdb.
- I think we decided to get rid of the renal transplant part for this, right? If so, please remove both that part and this comment... Otherwise, the one-week clock is now ticking for its removal, pending an explanation why it should not be removed. Ttenbergen 10:57, 23 April 2009 (CDT)
- The 364 is new since the discussion about the cleaner. What is it about? Ttenbergen 15:55, 5 November 2008 (CST)
- Yes, since I have been further reviewing patient profiles in more detail from the problems that SAS has generated, I see renal insufficiency (364) being coded in admit or complication DX slots for patients who have a comorbid condition of chronic renal failure (351).
- This article mentions something about transplant. Is that still accurate? Ttenbergen 14:12, 18 February 2009 (CST)