ARI: Difference between revisions

Revision as of 09:43, 2016 March 31

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Kidney, acute renal failure NOS

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edit dx infobox
Category/Organ System:	Category: Renal (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	Acute Renal Insufficiency
Sub Diagnosis:
Diagnosis Code:	36400 - ARI-Acute Renal Insufficiency
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0 - 2
Program:	Critical Care and Medicine
Status:	Currently Collected

Acute Renal Insufficiency

check what the pts baseline creatinine was prior to admission. If creatinine was 250 last admission code as ARI if the present creatinine was 350 or more.
- I think you must mean "was > or < 250", not exactly, which is it? Please fix above and then remove this commentTtenbergen 10:43, 2016 March 31 (CDT)

In the pt's history if pt has been running high creatinine levels remember to code Renal Insufficiency-moderate (Cr greater than 240) or Renal insufficiency-mild (creatinine 160-240 mmol) in the comorbid section according to the guideline (Mild or Mod)

There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations.

@@ Line 7: / Line 7: @@
 *''A Rise >100 mmol from baseline over 24 hours'''
 * a patient is '''not''' on chronic hemodialysis or peritoneal dialysis
-** If the prior Creatinine level is unknown use > 250 as a guideline to code ARI.
+* If the prior Creatinine level is unknown use > 250 as a guideline to code ARI.
-{{Discussion}}
+{{discussion}}
+* check what the pts baseline creatinine was prior to admission.  If creatinine was 250 last admission code as ARI if the present creatinine was 350 or more.
+** I think you must mean "was > or < 250", not exactly, which is it? Please fix above and then remove this commentTtenbergen 10:43, 2016 March 31 (CDT)
-*** check what the pts baseline creatinine was prior to admission.  IF creatinine was 250 last admission code as ARI if the present creatinine was 350 or more.  In the pt's history if pt has been running high creatinine levels remember to code in the COMORBID section according to the guideline (Mild or Mod)
+* In the pt's history if pt has been running high creatinine levels remember to code [[Renal Insufficiency-moderate (Cr greater than 240)]] or [[Renal insufficiency-mild (creatinine 160-240 mmol)]] in the '''comorbid''' section according to the guideline (Mild or Mod)
 == {{Data Integrity Checks}} ==