Kidney, acute renal failure NOS: Difference between revisions

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{{ICD10 transition status
{{ICD10 transition status
| OldDxArticle =Acute Renal Insufficiency| CurrentStatus = freshly automatically generated article  
| OldDxArticle = ARI
| CurrentStatus = freshly automatically generated article  
| InitialEditorAssigned = Michelle Lagadi
| InitialEditorAssigned = Michelle Lagadi
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== Additional Info ==
== 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 ==
== 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 (uremia, chronic renal insufficiency) Stage 4]]
*[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
*[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]


== Candidate [[Combined ICD10 codes]] ==
== Candidate [[Combined ICD10 codes]] ==
*Also code the cause, if known.
*Also code the cause, if known.


== {{Data Integrity Checks}} ==
== {{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]]'''.  
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 ==
== Related CCI Codes ==

Revision as of 15:09, 2017 December 28

ICD10 Diagnosis
Dx: Kidney, acute renal failure NOS
ICD10 code: N17.9
Pre-ICD10 counterpart: ARF, ARI
Charlson/ALERT Scale: none
APACHE Como Component: none
APACHE Acute Component: 2019-0: Renal/Metabolic NOS, 2019-0: Metabolic/Renal NOS
Start Date:
Stop Date:
External ICD10 Documentation

This diagnosis is a part of ICD10 collection.

  • SMW
    • 2019-01-01
    • 2999-12-31
    • N17.9
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories
  • SMW
  • Cargo


  • Categories

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

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

  • Acute Kidney Injury (AKI)
  • acute renal insufficiency (ARI)

The 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

Candidate Combined ICD10 codes

  • Also code the cause, if known.

Template: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

Related Articles

Related articles:


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