Renal Transplant: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older editNewer edit →
mNo edit summary
mNo edit summary
Line 7: Line 7:
* 05 - Living Donor  | 805-** | | |'''Critical Care and Medicine''' | Currently Collected | | | |}}
* 05 - Living Donor  | 805-** | | |'''Critical Care and Medicine''' | Currently Collected | | | |}}


== Considerations for entering Tasks ==
== Coding during the admission where transplant occurs ==
Note: Patients have underlying CRF and are on chronic HD or PD. Task is  marked Chronic HD or Chronic PD only if they receive HD or PD in hospital prior to surgery. Rarely is HD given. Usually PD is given (instilled overnight and drained in morning)
Example scenario renal transplant process for coding purposes
 
If patient receives kidney transplant and develops complication of Hyper K+, renal failure, rejection etc. post-op and subsequently require dialysis this is Acute HD or Acute PD.
 
== Future admissions of Renal Transplant Recipient ==
Renal Transplant Patients: On their next admission do not add CRF in the Comorbids because this will indicate that transplant rejected/or not successful.
 
== Renal Transplant Recipient who is back in CRF ==
* If the patient is back in [[CRF - Chronic Renal Failure|CRF]] due to rejection and receiving hemodialysis or peritoneal dialysis, enter Renal Transplant Rejection (361-01) as the last admit (When this is not an acute problem). Then enter Renal Transplant and CRF in co-morbs. Mark appropriate task as Chronic.
 
* If a renal transplant is not working but it is not clearly related to rejection, use ''Renal Transplant Problems - Other'' 361-90.
 
=== Discussion ===
* "enter Renal Transplant Rejection (361-01) as the last admit" - does it have to be an admit? What if it happens during the stay, would it not be an acquired instead? [[User:Ttenbergen|Ttenbergen]] 14:51, 29 July 2008 (CDT)
* what if the patient is not receiving dialysis, for whatever reason (e.g. DC Treat) - do you not code rejection anyway?[[User:Ttenbergen|Ttenbergen]] 14:51, 29 July 2008 (CDT)
 
 
{{Discussion}}
 
==Discussion==
* How is the donor coded for a living donor? The detail may not need to go into here if there is a specific code, but there should be a link from here. [[User:Ttenbergen|Ttenbergen]] 14:35, 29 July 2008 (CDT)
 
Topic moved from [[CRF vs ARF, ARI, Renal Transplant]]; this may already be addressed here, but it did not belong into the article where it was:
* So how do you check for patients with renal transplant in comorbid, done many years ago, but patient has been receiving outpatient dialysis for some time because of transplant failure prior to admission?  [[User:TOstryzniuk|TOstryzniuk]] 16:22, 8 October 2008 (CDT)
** We just check the ''data'' as part of the checks done as requested by Julie. Your question seems to relate more to how the data collectors should be ''getting'' that data. You have identified an important question that should be addressed as part of the article [[Renal Transplant]]. Should we move this thread there instead? [[User:Ttenbergen|Ttenbergen]] 14:21, 18 February 2009 (CST)
 
== Comment transferred from Talk Page ==
(we don't use the talk page, see [[Discussion & Question Instruction | here]] for more.)
Does a renal transplant patient always admit from home?[[User:Ttenbergen|Ttenbergen]] 16:45, 25 April 2008 (CDT)


== Example scenario renal transplant process for coding purposes ==
=== Renal Transplant Patient coding process ===
=== Renal Transplant Patient coding process ===
* Patient Type (Registry): Surgical  
* Patient Type (Registry): Surgical  
Line 52: Line 23:
* Apache Type: Elective Surgery
* Apache Type: Elective Surgery
* Admit Dx: Nephrectomy – Kidney Donor 801-01 [[Nephrectomy]]
* Admit Dx: Nephrectomy – Kidney Donor 801-01 [[Nephrectomy]]
== Coding during future admissions of Renal Transplant Recipients ==
=== Intact and working transplant ===
* '''do not code CRF''' if the patient's transplant is working
=== Transplant not working ===
* if transplant is not working and patient meets coding requirement, code [[CRF]]
* enter Renal Transplant in comorbids
* enter one of the following codes as admit or complication as appropriate, prioritizing is as usual:
** Renal Transplant Surgery - Rejection (361-01)
** Renal Transplant Surgery - Other (361-90) if not clearly related to rejection
== Considerations for entering Tasks ==
Renal Transplant patients sometimes qualify for one of the [[Dialysis Tasks]] either prior to transplant of if an earlier transplant has failed; check that article and code the task if applicable.


{{Data Integrity Rules}}
{{Data Integrity Rules}}

Revision as of 15:24, 2009 September 3

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Renal (old)

Type:

Medical Problem

Main Diagnosis: Renal Transplant Surgery
Sub Diagnosis:
  • 00 - RENAL TRANSPLANT SURGERY
  • 01 - Removal of Transplant-Organ
  • 02 - Failed
  • 03 - Rejection
  • 04 - Cadaver Donor
  • 05 - Living Donor
Diagnosis Code: 805-**
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and Medicine
Status: Currently Collected


Coding during the admission where transplant occurs

Example scenario renal transplant process for coding purposes

Renal Transplant Patient coding process

  • Patient Type (Registry): Surgical
  • Apache Type: Elective Surgery
  • Admit DX: Pre-op Optimization - 893
  • Complication is only one of:
    • Renal Transplant – living donor – 805-04
    • Renal Transplant – Cadaver donor 805-05

Renal Donor

  • Admit: Recovery Room
  • Patient Type (Registry): Surgical
  • Apache Type: Elective Surgery
  • Admit Dx: Nephrectomy – Kidney Donor 801-01 Nephrectomy

Coding during future admissions of Renal Transplant Recipients

Intact and working transplant

  • do not code CRF if the patient's transplant is working

Transplant not working

  • if transplant is not working and patient meets coding requirement, code CRF
  • enter Renal Transplant in comorbids
  • enter one of the following codes as admit or complication as appropriate, prioritizing is as usual:
    • Renal Transplant Surgery - Rejection (361-01)
    • Renal Transplant Surgery - Other (361-90) if not clearly related to rejection

Considerations for entering Tasks

Renal Transplant patients sometimes qualify for one of the Dialysis Tasks either prior to transplant of if an earlier transplant has failed; check that article and code the task if applicable.

Template:Data Integrity Rules There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations.

Related Articles

see Category:Renal Problem for other renal problems

Retrieved from "https://ccmdb.kuality.ca/index.php?title=Renal_Transplant&oldid=14296"