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There are a number of coding rules related to renal diagnoses, centralized info about them is in [[Renal Coding Considerations]]. | There are a number of coding rules related to renal diagnoses, centralized info about them is in [[Renal Coding Considerations]]. | ||
** I always check what the pts baseline creatinine was prior to admission if the pt had chronic renal insuffiency and creatinine was 250 last admission I will code as mod CRI if the present creatinine was say 350 I will code acute RI in admits and CRI in comorbids ( acute on chronic )If the creat was the same as last admission say 250 and pt has CRI I only code in comorbids because it is not acute. | ** I always check what the pts baseline creatinine was prior to admission if the pt had chronic renal insuffiency and creatinine was 250 last admission I will code as mod CRI if the present creatinine was say 350 I will code acute RI in admits and CRI in comorbids ( acute on chronic )If the creat was the same as last admission say 250 and pt has CRI I only code in comorbids because it is not acute. | ||
**This is what I do also. This makes sense to me, not arbitrarily putting a value of >250 as acute renal insufficiency.--[[User:LKolesar|LKolesar]] 17:29, 2014 October 15 (CDT) | |||
[[Category: Diagnosis Coding]] | [[Category: Diagnosis Coding]] | ||
[[Category: Charlson - Renal]] | [[Category: Charlson - Renal]] | ||
[[Category: Renal Problem]] | [[Category: Renal Problem]] | ||
[[Category: Renal insufficiency]] | [[Category: Renal insufficiency]] | ||