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| == ICD10 ==
| | See [[Query check ApARF CRF]] for corresponding old dx check. |
| *If a person has pre-existing [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] then they cannot ''subsequently'' have any of the various Acute Renal Failure/AKI diagnoses '''UNLESS''' they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney.
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| **So we will use the rule that no single database record can include both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney.
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| *Thus, even though it is possible for an AKI to become fixed/permanent and become any level (1-5) of CRF -- this usually takes time (weeks to months) and for simplicity in coding, except for the case above where a renal TP occurred, the rule is that no single record should have both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code.
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| **This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency.
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| {{Discuss | who = Julie | question =
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| *[[ARF (APACHE)]] should be always be NO when the person has comorbid [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] or having [[Renal dialysis care, including dialysis itself]] in ICD10 diagnosis. --[[User:JMojica|JMojica]] 12:28, 2018 November 13 (CST)
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| ** A person with ARF could have dialysis, though, right, to treat the ARF? So, how about
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| ***''[[ARF (APACHE)]] checked and no [[(T) Kidney]]+[[Transplant]] / [[Past history, transplanted kidney]] / [[Kidney transplant, failure or rejection or unspecified complication]] means patient must not have
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| **** ''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
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| **** ''[[Comorbid Diagnosis]] of [[Renal dialysis care, including dialysis itself]]
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| ** Don't know if we can make that any tighter...
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| ***OK --[[User:JMojica|JMojica]] 16:48, 2018 November 19 (CST)-
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| }}
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| See [[Query check ApARF CRF]] for corresponding old dx check.
| | *''[[ARF (APACHE)]] checked and no [[(T) Kidney]]+[[Transplant]] / [[Past history, transplanted kidney]] / [[Kidney transplant, failure or rejection or unspecified complication]] means patient must not have |
| | ** ''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] |
| | ** ''[[Comorbid Diagnosis]] of [[Renal dialysis care, including dialysis itself]] |
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| == See also == | | == See also == |
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| == Log == | | == Log == |
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| == Related Articles == | | == Related Articles == |