Template:ICD10 Guideline ESRD vs Acute renal failure
This template contains info that is relevant to all the acute renal failure diagnoses.
To use:
- {{ICD10 Guideline ESRD vs Acute renal failure}}
ESRD vs Acute renal failure
- AND
- UNLESS the patient has had a renal transplant and the transplanted kidney was functioning (and thus can experience acute renal failure)
- But it is possible to code both one of the Acute Renal Failure/AKI codes AND one of the "lesser" CRF codes:
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29
Background/History
This has been discussed repeatedly over time. Here is an attempt at a Chronology, newest first
- In emails on 2022-06-23 Julie, Lisa and Tina decided to hold off on the change from the day before to review reasons why this was changed before.
- 2022-06-22 - At JALT meeting we discussed definition for query Check CRF vs ARF across multiple encounters; instructions were changed to no longer allow ARF to be collected at same time as CRF (I can't remember the reasons, can Julie or Lisa fill in?)
- 2020-01-23 - Task(10) we discussed this at task: Some mild Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 cases can have AKI following Template:ICD10 Guideline KDIGO Guidelines for Acute Renal Failure, so we allowed entering them together (query check_ICD10_ESRD_vs_ARF disabled, deleted this template page ICD10 Guideline ESRD vs Acute renal failure
- 2019-08-22 - Discussed in context of Check CRF vs ARF across multiple encounters and decided that, since people can come off dialysis, there might really be a new acute after having been on dialysis; messy so decided not to implement this
- at some point we defined AKI by Template:ICD10 Guideline KDIGO Guidelines for Acute Renal Failure
- at some point we defined Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90 rather than defining
- when we moved to ICD10 there was a desire to maintain that rule
- pre/ancient: In our old coding schema we defined CRF as being "on dialysis" and ARF as "newly dialyzed", so combining the two by definition did not make sense; there were some exceptions for patients who had a kidney transplant and came off dialysis; there was talk about some fairly complex cross checks between encounters - Julie may have had these in SAS but AFAIK they were never implemented in CFE. There was much discussion whether the re-set for chronic state should be this ward stay, this hospitalization, this hospitalization across the city.
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We used to not allow this in the old dx coding schema:
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