Kidney, acute renal failure NOS: Difference between revisions

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{{ICD10 transition status

| OldDxArticle =~~Acute Renal Insufficiency~~| CurrentStatus = freshly automatically generated article

| OldDxArticle = ARI

| CurrentStatus = freshly automatically generated article

| InitialEditorAssigned = Michelle Lagadi

}}

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== Additional Info ==

*Do NOT use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]'''

Do NOT use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]'''

*In ICD10 there is not a separate code for "acute renal insufficiency". '''This code includes that ~~designation~~'~~''.~~

*~~This code also includes the designation of~~ '''Acute Kidney Injury''' (AKI).

This code includes the following conditions that don't have separate ICD10 codes:

*The "KDIGO" guidelines identify that this is present if any one or more of the following are true:

* '''Acute Kidney Injury''' (AKI)

**Increase in serum creatinine by 26 micromoles/L or more within 48 hours

* '''acute renal insufficiency''' ([[ARI]])

**Increase in serum creatinine to 1.5 times baseline or more within the last 7 days

**Urine output less than 0.5 mL/kg/hour for 6 hours

The [http://kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf KDIGO guidelines] identify that this is present if any one or more of the following are true:

*Increase in serum creatinine by 26 micromoles/L or more within 48 hours

*Increase in serum creatinine to 1.5 times baseline or more within the last 7 days

*Urine output less than 0.5 mL/kg/hour for 6 hours

== Alternate ICD10s to consider coding instead or in addition ==

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*[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 4]]

*[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]

== Candidate [[Combined ICD10 codes]] ==

*Also code the cause, if known.

== {{Data Integrity Checks}} ==

There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[Renal Coding Considerations for ICD10]]'''.

== Related CCI Codes ==

@@ Line 1: / Line 1: @@
 {{ICD10 transition status
-| OldDxArticle =Acute Renal Insufficiency| CurrentStatus = freshly automatically generated article
+| OldDxArticle = ARI
+| CurrentStatus = freshly automatically generated article
 | InitialEditorAssigned = Michelle Lagadi
 }}
@@ Line 11: / Line 12: @@
 == Additional Info ==
-*Do NOT use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]'''
+Do NOT use this code if the patient has a '''pre-existing''' diagnosis of: '''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]'''
-*In ICD10 there is not a separate code for "acute renal insufficiency".  '''This code includes that designation'''.
-*This code also includes the designation of '''Acute Kidney Injury''' (AKI).
+This code includes the following conditions that don't have separate ICD10 codes:
-*The "KDIGO" guidelines identify that this is present if any one or more of the following are true:
+* '''Acute Kidney Injury''' (AKI)
-**Increase in serum creatinine by 26 micromoles/L or more within 48 hours
+* '''acute renal insufficiency''' ([[ARI]])
-**Increase in serum creatinine to 1.5 times baseline or more within the last 7 days
-**Urine output less than 0.5 mL/kg/hour for 6 hours
+The [http://kdigo.org/clinical_practice_guidelines/pdf/KDIGO%20AKI%20Guideline.pdf KDIGO guidelines] identify that this is present if any one or more of the following are true:
+*Increase in serum creatinine by 26 micromoles/L or more within 48 hours
+*Increase in serum creatinine to 1.5 times baseline or more within the last 7 days
+*Urine output less than 0.5 mL/kg/hour for 6 hours
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 28: / Line 32: @@
 *[[Chronic kidney disease (uremia, chronic renal insufficiency) Stage 4]]
 *[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
 == Candidate [[Combined ICD10 codes]] ==
 *Also code the cause, if known.
 == {{Data Integrity Checks}} ==
 There are a number of coding rules related to renal diagnoses, centralized info about them is in '''[[Renal Coding Considerations for ICD10]]'''.
 == Related CCI Codes ==