Prerenal uremia/state: Difference between revisions
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{{ICD10 category|Renal/urinary}}{{ICD10 category|Symptom/Sign}} | {{ICD10 category|Renal/urinary}}{{ICD10 category|Renal failure}}{{ICD10 category|Symptom/Sign}} | ||
== Additional Info == | == Additional Info == | ||
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{{ICD10 Guideline Symptoms not needed when cause known}} | {{ICD10 Guideline Symptoms not needed when cause known}} | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Renal failure}} | |||
{{ListICD10Category | categoryName = Chronic kidney disease}} | |||
*[[Dehydration (volume depletion, hypovolemia)]] | *[[Dehydration (volume depletion, hypovolemia)]] | ||
Revision as of 15:50, 28 June 2018
ICD10 Diagnosis | |
Dx: | Prerenal uremia/state |
ICD10 code: | R39.2 |
Pre-ICD10 counterpart: | none assigned |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | none |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- This is a specific cause of acute (or occasionally subacute) renal disorder/insufficiency.
- The usual marker for this entity is elevated serum urea and/or elevated serum creatinine PLUS an elevated urea:creatinine ratio. The normal value of this ratio (in the units used here) is 44, so a ratio > 66 is suggestive of a pre-renal state. While pre-renal patients are usually intravascularly depleted, this is not universally the case; any situation in which renal perfusion is reduced can give a pre-renal state, even without volume depletion. An example is bilateral renal artery stenosis.
- If the patient qualifies, one could/should also code Kidney, acute renal failure NOS
- Do not use this code if the patient has a pre-existing diagnosis of: Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5
Template:ICD10 Guideline Symptoms not needed when cause known
Alternate ICD10s to consider coding instead or in addition
Renal failure codes: |
Candidate Combined ICD10 codes
Related CCI Codes
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