ARI

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

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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
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.
• 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.

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