Kidney, acute renal failure NOS: Difference between revisions
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{{ICD10 category|Renal/urinary}}{{ICD10 category|Metabolic/nutrition}} | {{ICD10 category|Renal/urinary}}{{ICD10 category|Metabolic/nutrition}} | ||
== Additional Info == | == Additional Info == | ||
*Do | *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'''. | *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). | *This code also includes the designation of '''Acute Kidney Injury''' (AKI). | ||
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**Increase in serum creatinine to 1.5 times baseline or more within the last 7 days | **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 | **Urine output less than 0.5 mL/kg/hour for 6 hours | ||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
Revision as of 09:58, 2 November 2017
| ICD10 Diagnosis | |
| Dx: | Kidney, acute renal failure NOS |
| ICD10 code: | N17.9 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| 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.
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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