Renal Coding Considerations (old)

Data Integrity Rules

• If CRF (351 00) is coded as comorbid then ARF (350 **) must not be coded as Admit/Acquired,
  • except if Renal Transplant (805 00) is also coded as a comorbid
  • discussion Tina/Julie: If having more than 1 encounter (i.e.: continuous or same hospital admission), then Codes 350 and 351 should not appear together in at least one of the encounters. Why should they occur together in any? That happens and definitely that is encoding error. Ideally, should be all 350 in all encounters or all 351 in all encounters. Umm… ideally? So, flag it or not? Flag it

• If CRF (351 00) is coded as comorbid then Acute Renal Insufficiency (364 00) must not appear in Admit/Acquired codes

Both of these rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.