Renal Coding Considerations (old)

These checks are currently done partly by Pagasa (! Automated Data Integrity Checks) and are about to be implemented in CCMDB.mdb.

Data Integrity Rules

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 **) must not be coded as Admit/Acquired except if Renal Transplant (805 00) is also coded as a comorbid

These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.

• If diagnosis CRF - Chronic Renal Failure exists ind comorbid Diagnosis slot, the ARF box in Apache Lab must not be checked.

About to implement that. Ttenbergen 11:02, 20 August 2009 (CDT)

discussion

Template:Discussion When these are addressed, please edit Requested CCMDB changes for the next version to state the discussion is done so the checks can be implemented in CCMDB.mdb.

• I think we decided to get rid of the renal transplant part for this, right? If so, please remove both that part and this comment... Otherwise, the one-week clock is now ticking for its removal, pending an explanation why it should not be removed. Ttenbergen 10:57, 23 April 2009 (CDT)

• The 364 is new since the discussion about the cleaner. What is it about? Ttenbergen 15:55, 5 November 2008 (CST)
  • Yes, since I have been further reviewing patient profiles in more detail from the problems that SAS has generated, I see renal insufficiency (364) being coded in admit or complication DX slots for patients who have a comorbid condition of chronic renal failure (351).
• This article mentions something about transplant. Is that still accurate? Ttenbergen 14:12, 18 February 2009 (CST)

• how about the following: (Renal Insufficiency Mild 36487), ( Renal Insufficiency Moderate 36488) Ttenbergen 13:35, 27 August 2009 (CDT)

• Can any of the codes not co-exist, aside CRF vs all? Ttenbergen 13:35, 27 August 2009 (CDT)

• (moved from "Category talk:Task Elements"): For Renal Transplants the tasks present a problem still in access for Pegasa.If a patient is admitted with 893 (Pre-OP Optimization) and has a complication of 805 (Renal Transplant) Even though they have a co-morb of 351 (Chronic Renal Failure, it is possible that no dialysis is required.

Second if patient admitted with 805 (Renal Transplant) and have a comorb of 351 (Chronic Renal Failure) It is possible that dialysis is not required. Is this clear?--FLindell 13:28, 27 August 2009 (CDT)