Query check CCI ICD10 Dialysis no Dx
If a profile has one of the #Dialysis CCI Items there should also be one of the #Dialysis qualifying Dxs.
Dialysis CCI Items
- CRRT (TISS Item) (T33)
- Peritoneal dialysis (TISS Item) (T34)
- Intermittent hemodialysis (TISS Item) (T32)
- PD (Peritoneal dialysis) (1.PZ.21.HP-D4)
- HD (Hemodialysis) (1.PZ.21.HQ-BR)
- CRRT (incl volume removal via PRISMA device) (1.PZ.21.HQ-BS)
Dialysis qualifying Dxs
all #Dialysis requiring Dxs plus: Concept:Chronic Kidney Disease:
- 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
- Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
- Chronic kidney/renal disease, NOS (stage unspecified)
- Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic
- Kidney, acute renal failure, postprocedural
- Kidney, acute renal failure NOS
- Kidney, acute tubular necrosis (ATN)
- Hyperkalemia, severe or symptomatic
- Congestive heart failure with pulmonary edema
- Fluid overload
- Metabolic acidosis: Acidosis, NOS or Kidney, renal tubular acidosis (RTA, all types)
- Drug overdoses and poisonings -- the main ones are:
- Aspirin & other salicylates -- Aspirin or other salicylate or NSAID, overdose/toxicity
- Valproic acid, carbemazepine (Tegretol), phenytoin (Dilantin), barbiturates -- Antiseizure drug NOS, overdose/toxicity
- Metformin -- Insulin or other antidiabetes drug, overdose/toxicity
- Lithium -- Psychiatric drug NOS, adverse effect
- Theophylline -- Drug or biological substance/agent NOS, overdose/toxicity
- Alcohols -- Alcohol (ethanol), poisoning or Toxic alcohols, poisoning
- Diltiazem -- Calcium channel blocker, overdose/toxicity
- Occasionally a few others (rare)
Allan confirmed that we would not need to add covid because if used in that context, renal failure would also be coded.