Renal Coding Considerations (old)
These checks are currently done partly by Pagasa (! Automated Data Integrity Checks) and are about to be implemented in CCMDB.mdb.
Data Integrity Rules
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
competing diagnoses
If comorbid CRF (351-00) exists then the following must not appear in Admit/Acquired codes
- ARI (364-00)
- ATN (352-00)
- ARF (Diagnosis) (350 **)
Diagnoses, Comos vs. Tasks
Dialysis task is required if
- CRF comorbid is present
- LOS >= 3
- Renal Transplant (80504 or 80505) is not present
Apache vs. CRF como
- If comorbid CRF - Chronic Renal Failure exists, the ARF box in Apache Lab must not be checked.
About to implement that. Ttenbergen 14:05, 27 August 2009 (CDT)