ARI: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
clean-up and a further question
PStein (talk | contribs)
Line 10: Line 10:


{{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.
* check what the pts baseline ''' per doctors note''' creatinine was prior to admission.  If creatinine was > or equal to 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)


== {{Data Integrity Checks}} ==
== {{Data Integrity Checks}} ==

Revision as of 10:37, 2016 March 31

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:Kidney, acute renal failure NOS

Click Expand to show legacy content.


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


see Renal Insufficiency-moderate (Cr greater than 240) and Renal insufficiency-mild (creatinine 160-240 mmol) for the related comorbid codes

Acute Renal Insufficiency

Guideline

  • 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.

Template:Discussion

  • check what the pts baseline per doctors note creatinine was prior to admission. If creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.

Template:Data Integrity Checks

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