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:

CRF - Definition

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.

Data Integrity Rules

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

• if COMORBID coded with CRF (351),then ARF (350), ARI (364) or 352 (ATN),cannot be coded in admit or complications.

• 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)

DISCUSSION

`Just a comment about CRF 351, When pt recieving a Renal Transplant 361,who then has complications and requires dialysis, they can have 350, 352 and 364, which is related to their new donor kidney.--FLindell 08:36, 25 November 2008 (CST)