ARI: Difference between revisions

Revision as of 06:13, 2014 October 8

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

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Category/Organ System:	Category: Renal (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	Acute Renal Insufficiency
Sub Diagnosis:
Diagnosis Code:	36400 - ARI-Acute Renal Insufficiency
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0 - 2
Program:	Critical Care and Medicine
Status:	Currently Collected

Acute Renal Iinsufficiency

Creatinine >250 mmol or a Rise >100 mmol from baseline over 24 hours
a patient is not on chronic hemodialysis or peritoneal dialysis
I don't think that just having a creatinine of >250 should automatically mean ARI. This could be the patient's baseline and therefore is a chronic issue. My opinion is to only use the rule of >100 mmol over baseline over 24 hours for acute renal insufficiency (without dialysis), or use ATN if this is documented. --LKolesar 07:13, 2014 October 8 (CDT)

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

@@ Line 5: / Line 5: @@
 *''' Creatinine >250 mmol or a Rise >100 mmol from baseline over 24 hours'''
 * a patient is '''not''' on chronic hemodialysis or peritoneal dialysis
+* I don't think that just having a creatinine of >250 should automatically mean ARI.  This could be the patient's baseline and therefore is a chronic issue.  My opinion is to only use the rule of >100 mmol over baseline over 24 hours for '''acute''' renal insufficiency (without dialysis), or use ATN  if this is documented.  --[[User:LKolesar|LKolesar]] 07:13, 2014 October 8 (CDT)
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