Kidney, acute renal failure NOS: Difference between revisions
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== {{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 for ICD10]]'''. | ||
Revision as of 14:19, 2017 November 1
ICD10 Diagnosis | |
Dx: | Kidney, acute renal failure NOS |
ICD10 code: | N17.9 |
Pre-ICD10 counterpart: | ARF, ARI |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | 2019-0: Renal/Metabolic NOS, 2019-0: Metabolic/Renal NOS |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- Do not use this code if the patient has a pre-existing diagnosis of: Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5
- In ICD10 there is not a separate code for "acute renal insufficiency". This code includes that designation.
- This code also includes the designation of Acute Kidney Injury (AKI).
- The "KDIGO" guidelines identify that this is present if any one or more of the following are true:
- Increase in serum creatinine by 26 micromoles/L or more within 48 hours
- Increase in serum creatinine to 1.5 times baseline or more within the last 7 days
- Urine output less than 0.5 mL/kg/hour for 6 hours
Alternate ICD10s to consider coding instead or in addition
- Kidney, acute renal failure NOS
- Kidney, acute tubular necrosis (ATN)
- Prerenal uremia/state
- Chronic kidney disease (uremia, chronic renal insufficiency) Stage 1
- Chronic kidney disease (uremia, chronic renal insufficiency) Stage 2
- Chronic kidney disease (uremia, chronic renal insufficiency) Stage 3
- Chronic kidney disease (uremia, chronic renal insufficiency) Stage 4
- Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5
Candidate Combined ICD10 codes
- Also code the cause, if known.
Template:Data Integrity Checks
There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations for ICD10.
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