Query check CCI ICD10 Dialysis no Dx
| Data Integrity Checks | |
| Summary: | If there is a TISS28 entry for Hemodialysis there should be a corresponding Dx. |
| Related: | Peritoneal dialysis (TISS Item), CRRT (TISS Item), Kidney, acute renal failure NOS, Kidney, acute renal failure, postprocedural, Kidney, acute tubular necrosis (ATN), Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic |
| Firmness: | hard check |
| Timing: | complete |
| App: | CCMDB.accdb |
| Coding: | query NDC_Dxs_vs_TISS_Dialysis |
| Uses L Problem table: | not relevant for this app |
| Status: | needs review |
| Implementation Date: | 2019/01/06 |
| Backlogged: | No |
If there is a #Dialysis TISS Items there should be a #Dialysis qualifying Dxs.
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This cross check should also include the other CCI entries related to this, e.g. PD (Peritoneal dialysis), HD (Hemodialysis). |
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Has #Dialysis TISS Items but no #Dialysis qualifying Dxs
If meets following the entry is an error:
- at least one of
- doesn't have one #Dialysis qualifying Dxs
Dialysis TISS Items
- T33 - CRRT (TISS Item)
- T34 - Peritoneal dialysis (TISS Item)
- T32 - Intermittent hemodialysis (TISS Item)
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This cross check should also include the other CCI entries related to this, e.g. PD (Peritoneal dialysis), HD (Hemodialysis). |
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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.