Renal Transplant: Difference between revisions
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== Coding during the admission where transplant occurs == | == Coding during the admission where transplant occurs == | ||
=== Renal Transplant Patient coding process === | === Renal Transplant Patient coding process === | ||
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* Just to confirm - is the transplant surgery truly elective at all times? Would there not be an "expiry" consideration for cadaver donors? [[User:Ttenbergen|Ttenbergen]] 16:59, 3 September 2009 (CDT) | * Just to confirm - is the transplant surgery truly elective at all times? Would there not be an "expiry" consideration for cadaver donors? [[User:Ttenbergen|Ttenbergen]] 16:59, 3 September 2009 (CDT) | ||
=== Renal Donor === | === Renal Donor Coding Process === | ||
see [[Nephrectomy]] | see [[Nephrectomy]] | ||
Revision as of 16:02, 2009 September 3
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Click Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Renal (old) |
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Type: |
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| Main Diagnosis: | Renal Transplant Surgery |
| Sub Diagnosis: |
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| Diagnosis Code: | 805-** |
| Comorbid Diagnosis: | |
| Charlson Comorbid coding (pre ICD10): | |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected
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Coding during the admission where transplant occurs
Renal Transplant Patient coding process
- Patient Type (Registry): Surgical
- Apache Type: Elective Surgery
- Admit DX: Pre-op Optimization - 893
- Complication is only one of:
- Renal Transplant – living donor – 805-04
- Renal Transplant – Cadaver donor 805-05
Discussion
- Is the complication for organ source mandatory? Should there be a check for it? Ttenbergen 16:56, 3 September 2009 (CDT)
- Where does the transplant itself get coded then? These instructions omit it.Ttenbergen 16:57, 3 September 2009 (CDT)
- Just to confirm - is the transplant surgery truly elective at all times? Would there not be an "expiry" consideration for cadaver donors? Ttenbergen 16:59, 3 September 2009 (CDT)
Renal Donor Coding Process
see Nephrectomy
Coding during future admissions of Renal Transplant Recipients
Intact and working transplant
- do not code CRF if the patient's transplant is working
Transplant not working
- if transplant is not working and patient meets coding requirement, code CRF
- enter Renal Transplant in comorbids
- enter one of the following codes as admit or complication as appropriate, prioritizing is as usual:
- Renal Transplant Surgery - Rejection (361-01)
- Renal Transplant Surgery - Other (361-90) if not clearly related to rejection
Considerations for entering Tasks
Renal Transplant patients sometimes qualify for one of the Dialysis Tasks either prior to transplant of if an earlier transplant has failed; check that article and code the task if applicable.
Template:Data Integrity Rules There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations.
Related Articles
see Category:Renal Problem for other renal problems