ARI
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:Kidney, acute renal failure NOSClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Renal (old) |
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Type: |
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| Main Diagnosis: | Acute Renal Insufficiency |
| Sub Diagnosis: | |
| Diagnosis Code: | 36400 - ARI-Acute Renal Insufficiency |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 - 2 |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected
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see Renal Insufficiency-moderate (Cr greater than 240) and Renal insufficiency-mild (creatinine 160-240 mmol) for the related comorbid codes
Acute Renal Insufficiency
Guideline
- A Rise >100 mmol from baseline over 24 hours'
- a patient is not on chronic hemodialysis or peritoneal dialysis
- If the prior Creatinine level is unknown use > 250 as a guideline to code ARI.
- I always check what the pts baseline creatinine was prior to admission. IF creatinine was 250 last admission I will code as ARI if the present creatinine was say 350. In the pt's history if pt has been running high creatinine levels remember to code in the COMORBID section according to the guideline (Mild or mod)
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There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations.