CRF - Chronic Renal Failure

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:Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15

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Category/Organ System:	Category: CRF (old)
Type:
Main Diagnosis:	351 00
Sub Diagnosis:	CC and M (comorbid only)
Diagnosis Code:	Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:

Chronic Renal Failure is coded as a comorbid condition only for any patient who is receiving chronic outpatient dialysis for kidney failure prior to the current hospital admission.

• For newly dialyzed patients use the ARF - Acute Renal Failure codes instead.

CRF and TISS

• recent audit:

FINDINGS -CRF (351) in DX but TISS not marked when LOS 4 days or more -CRF (351) is being coded in comorbid instead of Renal insufficiency (364-87 or 88).

Data Integrity Rules

See the data integrity check related to this code at "CRF vs ARF, ARI, Renal Transplant".

• if LOS in ICU or medicine <=3 days and IF comorbid DX is 351, then TISS 52-55 or Medicine TASK item not marked is correct.

(most CRF patient will have dialysis 2-3 times per week, so checking every patient with LOS of <= days who have 351 in comorbid, but nothing on TISS or in TASK, if creating excessive chart checks.

• if Julie would like to comment further.

TOstryzniuk 18:13, 24 October 2008 (CDT)