Kidney, acute renal failure NOS: Difference between revisions
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* '''Acute Kidney Injury''' (AKI) | * '''Acute Kidney Injury''' (AKI) | ||
* '''acute renal insufficiency''' ([[ARI]]) | * '''acute renal insufficiency''' ([[ARI]]) | ||
*Do not use this code if the AKI is postoperative or postprocedural | *Do not use this code if the AKI is postoperative or postprocedural, use [[Kidney, acute renal failure, postprocedural]] | ||
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: | 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: |
Revision as of 13:26, 2018 March 20
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.
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)
- Do not use this code if the AKI is postoperative or postprocedural, use Kidney, acute renal failure, postprocedural
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
- Kidney, acute tubular necrosis (ATN)
- Kidney, acute renal failure, postprocedural
- Prerenal uremia/state
- Chronic kidney disease (uremia, chronic renal insufficiency) Stage 1
- Chronic kidney disease (uremia, chronic renal insufficiency) Stage 2
- Chronic kidney disease (uremia, chronic renal insufficiency) Stage 3
- 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.
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.
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