Kidney, acute renal failure NOS

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	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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

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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

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
• Renal dialysis care, including dialysis itself

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

Legacy Info

The "new" definition is different than old definition.

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. Mlagadi 11:47, 2018 June 28 (CDT)

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results