Kidney, acute renal failure NOS: Difference between revisions

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*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

{{discussion}}This definition is in contrast to the old ARF definition in which we code acute renal failure ONLY if the patient receives dialysis during their admission. There creatinine levels/urine output is not enough to code renal failure (the only exception to this rule was in the ICU apache score, in which you could code ARF in the apache tab based on creat/urine output). The codes will be inconsistent between the old diagnosis codes and the ICD10.

~~In addition to this, if we wanted to code acute renal insufficiency our criteria was as follows: A Rise >100 mmol from baseline over 24 hours,~~

If the prior Creatinine level is unknown use > 250 as a guideline to code ARI. If patients baseline creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.

I just want to make sure that we are coding this properly, as we have many patients coming in with renal issues/not sure how important consistency between collecting the old way and the new way is. [[User:Mlagadi|Mlagadi]] 11:47, 2018 June 28 (CDT)

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

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== Related CCI Codes ==

== Legacy Info ==

This definition is in contrast to the old ARF definition in which we code acute renal failure ONLY if the patient receives dialysis during their admission. There creatinine levels/urine output is not enough to code renal failure (the only exception to this rule was in the ICU apache score, in which you could code ARF in the apache tab based on creat/urine output). The codes will be inconsistent between the old diagnosis codes and the ICD10.

In addition to this, if we wanted to code acute renal insufficiency our criteria was as follows: A Rise >100 mmol from baseline over 24 hours,

If the prior Creatinine level is unknown use > 250 as a guideline to code ARI. If patients baseline creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.

I just want to make sure that we are coding this properly, as we have many patients coming in with renal issues/not sure how important consistency between collecting the old way and the new way is. [[User:Mlagadi|Mlagadi]] 11:47, 2018 June 28 (CDT)

== Related Articles ==

@@ Line 24: / Line 24: @@
 *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
-{{discussion}}This definition is in contrast to the old ARF definition in which we code acute renal failure ONLY if the patient receives dialysis during their admission. There creatinine levels/urine output is not enough to code renal failure (the only exception to this rule was in the ICU apache score, in which you could code ARF in the apache tab based on creat/urine output).  The codes will be inconsistent between the old diagnosis codes and the ICD10.
-In addition to this, if we wanted to code acute renal insufficiency our criteria was as follows: A Rise >100 mmol from baseline over 24 hours,
-If the prior Creatinine level is unknown use > 250 as a guideline to code ARI. If patients baseline creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.
-I just want to make sure that we are coding this properly, as we have many patients coming in with renal issues/not sure how important consistency between collecting the old way and the new way is. [[User:Mlagadi|Mlagadi]] 11:47, 2018 June 28 (CDT)
 == Alternate ICD10s to consider coding instead or in addition ==
@@ Line 49: / Line 43: @@
 == Related CCI Codes ==
+== Legacy Info ==
+This definition is in contrast to the old ARF definition in which we code acute renal failure ONLY if the patient receives dialysis during their admission. There creatinine levels/urine output is not enough to code renal failure (the only exception to this rule was in the ICU apache score, in which you could code ARF in the apache tab based on creat/urine output).  The codes will be inconsistent between the old diagnosis codes and the ICD10.
+In addition to this, if we wanted to code acute renal insufficiency our criteria was as follows: A Rise >100 mmol from baseline over 24 hours,
+If the prior Creatinine level is unknown use > 250 as a guideline to code ARI. If patients baseline creatinine was > or equal to 250 last admission code as ARI if the present creatinine was 350 or more.
+I just want to make sure that we are coding this properly, as we have many patients coming in with renal issues/not sure how important consistency between collecting the old way and the new way is. [[User:Mlagadi|Mlagadi]] 11:47, 2018 June 28 (CDT)
 == Related Articles ==
 {{Related Articles}}