ICD10 Guideline for Renal Coding: Difference between revisions

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{{ICD10 Guideline Kidney transplant vs ESRD}}
{{ICD10 Guideline Kidney transplant vs ESRD}}


== {{Data Integrity Checks}} ==
== Data Integrity Checks ==
=== CCMDB Data Integrity Checks ===
=== CCMDB Data Integrity Checks ===
* [[Query check_ICD10_no_ESRD_w_ARF]]
* [[Query check_ICD10_no_ESRD_w_ARF]]
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== Related Articles ==
== Related Articles ==
see [[:Category:Renal Problem (old)]] for other renal problems
see [[:Category:Renal Problem (old)]] for other renal problems
 
{{Related Articles}}
 


[[Category:Renal Problem (old)]]
[[Category:Renal Problem (old)]]

Revision as of 22:58, 2018 October 29

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:
Renal/urinary codes:

About Coding Chronic Kidney Disease (CKD)

  • The following ICD10 codes can apply to CKD
Chronic kidney disease codes:
  • 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

AKI

Candidate Combined ICD10 codes for renal codes

ESRD vs Acute Renal Failure

AND
  • UNLESS the patient has had a renal transplant and the transplanted kidney was functioning (and thus can experience acute renal failure)

About "Acute on Chronic renal failure"

  • Our definition for CRF includes two things, as above. If you are on dialysis then it is technically not possible to also have acute renal failure. And while our threshold of creatinine clearance < 15 ml/min USUALLY gets people on dialysis, that's not always the case. In other words, there are some people who don't need to start dialysis until their clearance is <10 or even 8 ml/min. THOSE people who by our definition have Stage 5 CKD cannot have ARF but rather this is considered a progression of their underlying disease. Instead of coding ARF, code the reason for dialysis ie. Fluid overload, Hyperkalemia, severe or symptomatic etc combined with Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
  • And of course, if you previously had Stage 5, were on dialysis, then got a successful renal transplant, then you CAN get acute renal failure in your graft.


Kidney transplant vs ESRD

Data Integrity Checks

CCMDB Data Integrity Checks

Template:Data Integrity Checks that can not be checked before sending

Related Articles

see Category:Renal Problem (old) for other renal problems

Related articles: