Renal Coding Considerations (old): Difference between revisions
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== CRF in pt with transplant failure == | == CRF in pt with transplant failure == | ||
Just a comment about '''[[CRF - Chronic Renal Failure]]''': when pt has [[Renal Transplant Problems]] and/or [[Renal Transplant|Renal Transplant - Removal of Transplant-Organ]] and requires dialysis, they can have acquired diagnoses of '''[[ARF (Diagnosis)]]''', '''[[Acute Tubular Necrosis (ATN)]]''' and/or [[ARI]], which is related to their new donor kidney. | Just a comment about '''[[CRF - Chronic Renal Failure]]''': when pt has [[Renal Transplant Problems]] and/or [[Renal Transplant|Renal Transplant - Removal of Transplant-Organ]] and requires dialysis, they can have acquired diagnoses of '''[[ARF (Diagnosis)]]''', '''[[Acute Tubular Necrosis (ATN)]]''' and/or [[ARI]], which is related to their new donor kidney. | ||
== [[:Category:Renal insufficiency (old)]] == | |||
*'''Comorbid''' | |||
**[[Renal insufficiency-mild (creatinine 160-240 mmol)]] | |||
**[[Renal Insufficiency-moderate (Cr greater than 240)]] | |||
*'''Admit or complication''' | |||
**[[ARI]] there is a different range - creatinine rise of >250 mmol OR a rise of >100 mmol from baseline over 24 hrs. | |||
*'''No dialysis''' or | |||
*'''N history of CRF''' | |||
**if patient required acute dialysis, it is not due to renal insufficiency - please see [[ARF]] | |||
**This is in the code book but not on the Wiki. (code books OLD so folks should not use). | |||
== {{Data Integrity Checks}} == | == {{Data Integrity Checks}} == | ||
Revision as of 17:07, 11 July 2018
See also Renal Coding Considerations for ICD10
There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa (!_Automated_Data_Integrity_Checks#CRF_vs_ARF) and have been partly implemented in CCMDB.mdb.
CRF in pt with transplant failure
Just a comment about CRF - Chronic Renal Failure: when pt has Renal Transplant Problems and/or Renal Transplant - Removal of Transplant-Organ and requires dialysis, they can have acquired diagnoses of ARF (Diagnosis), Acute Tubular Necrosis (ATN) and/or ARI, which is related to their new donor kidney.
Category:Renal insufficiency (old)
- Comorbid
- Admit or complication
- ARI there is a different range - creatinine rise of >250 mmol OR a rise of >100 mmol from baseline over 24 hrs.
- No dialysis or
- N history of CRF
- if patient required acute dialysis, it is not due to renal insufficiency - please see ARF
- This is in the code book but not on the Wiki. (code books OLD so folks should not use).
Template:Data Integrity Checks
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. Some of them have been added to CCMDB.mdb, more are to follow.
CCMDB Data Integrity Checks: Competing Diagnoses
(will be done for Renal Coding Considerations for ICD10 see Check Renal IncompatibleDxs
- If no Renal Transplant (80504 or 80505) in either Dxs or Comos then
- If comorbid CRF (351-00) exists then the following must not appear in Admit/Acquired codes
- ARI (364-00)
- ATN (352-00)
- ARF (Diagnosis) (350 **)
- If comorbid CRF (351-00) exists then the following must not appear in Admit/Acquired codes
Diagnoses, Comos vs. Tasks, locations
Apache vs. CRF comorbid
- see Check ApARF CRF.
Apache vs. ARF Dx
cross-checks impossible due to different definitions, see ARF (Diagnosis) and ARF (APACHE)
Template:Data Integrity Checks that can not be checked before sending
Related Articles
see Category:Renal Problem for other renal problems