Renal Transplant
Legacy Content
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| Category/Organ System: |
Category: Renal Transplant Surgery (old) |
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Type: |
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| Main Diagnosis: | 805-00 |
| Sub Diagnosis: | Critical Care and Medicine |
| Diagnosis Code: | Currently Collected |
| Comorbid Diagnosis: | |
| Charlson Comorbid coding (pre ICD10): | |
| Program: | |
| Status: |
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Renal Transplant Patient coding process
- Admit from: home (ZZ)
- Patient Type (Registry): Surgical
- Apache Type: Elective Surgery
- Admit DX: Pre-op Optimization - 893
- Complication is only one of:
- Renal Transplant – living donor – 805-04
- Renal Transplant – Cadaver donor 805-05
Renal Donor
- Admit: Recovery Room
- Patient Type (Registry): Surgical
- Apache Type: Elective Surgery
- Admit Dx: Nephrectomy – Kidney Donor 801-01
Considerations for entering Tasks
Note: Patients have underlying CRF and are on chronic HD or PD. Task is marked Chronic HD or Chronic PD only if they receive HD or PD in hospital prior to surgery. Rarely is HD given. Usually PD is given (instilled overnight and drained in morning)
If patient receives kidney transplant and develops complication of Hyper K+, renal failure, rejection etc. post-op and subsequently require dialysis this is Acute HD or Acute PD.
Future admissions of Renal Transplant Recipient
Renal Transplant Patients: On their next admission do not add CRF in the Comorbids because this will indicate that transplant rejected/or not successful.
Renal Transplant Recipient who is back in CRF
- If the patient is back in CRF due to rejection and receiving hemodialysis or peritoneal dialysis, enter Renal Transplant Rejection (361-01) as the last admit (When this is not an acute problem). Then enter Renal Transplant and CRF in co-morbs. Mark appropriate task as Chronic.
- If a renal transplant is not working but it is not clearly related to rejection, use <name of diagnosis> 361-90.
Discussion
- "enter Renal Transplant Rejection (361-01) as the last admit" - does it have to be an admit? What if it happens during the stay, would it not be an acquired instead? Ttenbergen 14:51, 29 July 2008 (CDT)
- what if the patient is not receiving dialysis, for whatever reason (e.g. DC Treat) - do you not code rejection anyway?Ttenbergen 14:51, 29 July 2008 (CDT)
Data Integrity Rules
See... CRF - Chronic Renal Failure
Discussion
- How is the donor coded for a living donor? The detail may not need to go into here if there is a specific code, but there should be a link from here. Ttenbergen 14:35, 29 July 2008 (CDT)