ARI: Difference between revisions

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** 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 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.-[[Shirley Kiesman]]

**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)

== {{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.--[[User:LKolesar|LKolesar]] 17:29, 2014 October 15 (CDT)

@@ Line 10: / Line 10: @@
 ** 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 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.-[[Shirley Kiesman]]
+**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)
 == {{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.--[[User:LKolesar|LKolesar]] 17:29, 2014 October 15 (CDT)