ARI: Difference between revisions
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*''' Creatinine >250 mmol or a Rise >100 mmol from baseline over 24 hours''' | *''' Creatinine >250 mmol or a Rise >100 mmol from baseline over 24 hours''' | ||
* a patient is '''not''' on chronic hemodialysis or peritoneal dialysis | * a patient is '''not''' on chronic hemodialysis or peritoneal dialysis | ||
{{Discussion}} | |||
* 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) | * 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) | ||
** Are we to change what we have being doing for over 10 years ?--[[User:PStein|PStein]] 09:54, 2014 October 15 (CDT) | ** Are we to change what we have being doing for over 10 years ?--[[User:PStein|PStein]] 09:54, 2014 October 15 (CDT) | ||
** I am just putting my opinion here, if any changes are done they will have to go through the task group first.--[[User:LKolesar|LKolesar]] 11:28, 2014 October 15 (CDT) | *** I am just putting my opinion here, if any changes are done they will have to go through the task group first.--[[User:LKolesar|LKolesar]] 11:28, 2014 October 15 (CDT) | ||
== {{Data Integrity Checks}} == | == {{Data Integrity Checks}} == | ||
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. | |||
**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) | **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]] | ||
Revision as of 17:04, 2014 October 15
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:Kidney, acute renal failure NOSClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Renal (old) |
|
Type: |
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| 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
Guideline
- 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)
Template:Data Integrity Checks
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.
- This is what I do also. This makes sense to me, not arbitrarily putting a value of >250 as acute renal insufficiency.--LKolesar 17:29, 2014 October 15 (CDT)