CRF - Chronic Renal Failure: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
TOstryzniuk (talk | contribs)
mNo edit summary
TOstryzniuk (talk | contribs)
mNo edit summary
Line 5: Line 5:
*For '''newly dialyzed''' patients use the [[ARF - Acute Renal Failure]] codes instead.
*For '''newly dialyzed''' patients use the [[ARF - Acute Renal Failure]] codes instead.


==CRF and TISS==
 
* recent audit:
FINDINGS
*CRF (351) in DX but TISS not marked when LOS 4 days or more
*CRF (351) is being coded in comorbid instead of Renal insufficiency (364-87 or 88).




==Data Integrity Rules==
==Data Integrity Rules==
*See the data integrity check related to this code at "[[CRF vs ARF, ARI, Renal Transplant]]".
*See the data integrity check related to this code at "[[CRF vs ARF, ARI, Renal Transplant]]".
* if COMORBID coded with CRF (351),then ARF (350), ARI (364) or 352 (ATN),cannot be coded in admit or complications.


*if LOS in ICU or medicine <=3 days and IF comorbid DX is 351, then TISS 52-55 or Medicine TASK item not marked is correct.
*if LOS in ICU or medicine <=3 days and IF comorbid DX is 351, then TISS 52-55 or Medicine TASK item not marked is correct.
(most CRF patient will have dialysis 2-3 times per week, so checking every patient with LOS of <= days who have 351 in comorbid, but nothing on TISS or in TASK, if creating excessive chart checks.  
(most CRF patient will have dialysis 2-3 times per week, so checking every patient with LOS of <= days who have 351 in comorbid, but nothing on TISS or in TASK, if creating excessive chart checks.  
* if Julie would like to comment further.
* if Julie would like to comment further.

Revision as of 14:00, 2008 November 25

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:Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15

Click Expand to show legacy content.


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

Type:

Category: CRF (Chronic Dialysis) (old)

Main Diagnosis: 351 00
Sub Diagnosis: CC and M (comorbid only)
Diagnosis Code: Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:


Chronic Renal Failure is coded as a comorbid condition only for any patient who is receiving chronic outpatient dialysis for kidney failure prior to the current hospital admission.



Data Integrity Rules

  • if COMORBID coded with CRF (351),then ARF (350), ARI (364) or 352 (ATN),cannot be coded in admit or complications.
  • if LOS in ICU or medicine <=3 days and IF comorbid DX is 351, then TISS 52-55 or Medicine TASK item not marked is correct.

(most CRF patient will have dialysis 2-3 times per week, so checking every patient with LOS of <= days who have 351 in comorbid, but nothing on TISS or in TASK, if creating excessive chart checks.

  • if Julie would like to comment further.

TOstryzniuk 18:13, 24 October 2008 (CDT)