ICD10 Guideline for Renal Coding: Difference between revisions
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{{ICD10 Guideline GFR instructions}} | {{ICD10 Guideline GFR instructions}} | ||
== | === AKI === | ||
*ICD10 does not have specific diagnosis of AKI (acute kidney injury), instead the codes that cover this are any of: | *ICD10 does not have specific diagnosis of AKI (acute kidney injury), instead the codes that cover this are any of: | ||
**[[Kidney, acute renal failure NOS]] | **[[Kidney, acute renal failure NOS]] | ||
**[[Kidney, acute renal failure, postprocedural]] | **[[Kidney, acute renal failure, postprocedural]] | ||
=== Candidate [[Combined ICD10 codes]] for renal codes === | |||
*Other codes you might want to use include: | *Other codes you might want to use include: | ||
**[[Prerenal uremia/state]] | **[[Prerenal uremia/state]] | ||
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**[[Nephritic syndrome, acute]] | **[[Nephritic syndrome, acute]] | ||
**[[Kidney, tubulo-interstitial nephritis/disease]] | **[[Kidney, tubulo-interstitial nephritis/disease]] | ||
*'''Never''' code ''both'' ESRD ([[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]) and any of the acute renal failure codes. | |||
=== ESRD vs Acute renal failure === | |||
*'''Never''' code ''both'' ESRD ([[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]) and any of the acute renal failure codes; [[query check_ICD10_no_ESRD_w_ARF]] will give an error if you do. | |||
**The only time you might be inclined to do so is in the presence of a failed kidney transplant, where the ESRD would refer to the failure of the native kidney, and the acute renal failure to the transplanted kidney, but don't do it even there, because the FACT of a kidney transplant automatically indicates that ESRD had occurred. | **The only time you might be inclined to do so is in the presence of a failed kidney transplant, where the ESRD would refer to the failure of the native kidney, and the acute renal failure to the transplanted kidney, but don't do it even there, because the FACT of a kidney transplant automatically indicates that ESRD had occurred. | ||
There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa (CRF vs ARF) and have been partly implemented in [[CCMDB.mdb]]. | There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa (CRF vs ARF) and have been partly implemented in [[CCMDB.mdb]]. | ||
== Acute or Chronic Renal problems in patient with Renal Transplant Failure == | === Acute or Chronic Renal problems in patient with Renal Transplant Failure === | ||
*If a kidney transplant has failed, then code [[Kidney transplant, failure or rejection or unspecified complication]] AND it's OK to also code acute or chronic renal condition, as appropriate. | *If a kidney transplant has failed, then code [[Kidney transplant, failure or rejection or unspecified complication]] AND it's OK to also code acute or chronic renal condition, as appropriate. | ||
Revision as of 00:38, 2018 October 22
| This page contains an ICD10 Coding Guideline for ICD10 collection. See ICD10 coding guidelines for similar pages. |
See also Renal Coding Considerations (old) for coding in the old system.
General Considerations
- Renal-related issues in ICD10 may include any of these things:
About Coding Chronic Kidney Disease (CKD)
- The following ICD10 codes can apply to CKD
- When there is a Creatinine clearance / GFR listed, it will be used to specify between Stages 1, 2, 3, 4, 5
To calculate the GFR, use this easy website calculator: https://www.mdcalc.com/mdrd-gfr-equation
- It requires age, sex, race (black vs. white) and creatinine:
- Unless you know otherwise, use "white" race as default
- Use the most recent, stable, PRE-HOSPITAL creatinine value available
- When no creatinine clearance is listed, but the patient is a known dialysis patient then code Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
- For all other CKD patients, i.e. those in whom we cannot easily identify the Stage, we’ll use Chronic kidney/renal disease, NOS (stage unspecified).
AKI
- ICD10 does not have specific diagnosis of AKI (acute kidney injury), instead the codes that cover this are any of:
Candidate Combined ICD10 codes for renal codes
- Other codes you might want to use include:
ESRD vs Acute renal failure
- Never code both ESRD (Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5) and any of the acute renal failure codes; query check_ICD10_no_ESRD_w_ARF will give an error if you do.
- The only time you might be inclined to do so is in the presence of a failed kidney transplant, where the ESRD would refer to the failure of the native kidney, and the acute renal failure to the transplanted kidney, but don't do it even there, because the FACT of a kidney transplant automatically indicates that ESRD had occurred.
There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa (CRF vs ARF) and have been partly implemented in CCMDB.mdb.
Acute or Chronic Renal problems in patient with Renal Transplant Failure
- If a kidney transplant has failed, then code Kidney transplant, failure or rejection or unspecified complication AND it's OK to also code acute or chronic renal condition, as appropriate.
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.
Template:Data Integrity Checks
CCMDB Data Integrity Checks
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 (old) for other renal problems