ICD10 Guideline for Renal Coding
General Considerations
- Renal-related issues in ICD10 may include any of these things:
- Glomerular diseases -- including glomerulonephritis, nephritic syndromes
- Renal tubulo-interstitial diseases -- including renal infections, obstruction, reflux, drugs/toxins
- Renal failure -- including acute, all 5 stages of CKD
- Urolithiasis
- Other disorders of kidney and ureter -- including RTAs, DI, renal cysts (except polycystic kidneys)
- Other diseases of urinary system -- including bladder, urethra, UTI
- Kidney transplant, failure or rejection or unspecified complication
- Organ transplant candidate (waiting for organ)
- Past history, transplanted kidney
There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa (!_Automated_Data_Integrity_Checks#CRF_vs_ARF) and have been partly implemented in CCMDB.mdb.
CRF in pt with transplant failure
Just a comment about CRF - Chronic Renal Failure: when pt has Renal Transplant Problems and/or Renal Transplant - Removal of Transplant-Organ and requires dialysis, they can have acquired diagnoses of ARF (Diagnosis), Acute Tubular Necrosis (ATN) and/or ARI, which is related to their new donor kidney.
Template:Data Integrity Checks
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. Some of them have been added to CCMDB.mdb, more are to follow.
Template:CCMDB Data Integrity Checks: Competing Diagnoses
see Check Renal IncompatibleDxs
- If no Renal Transplant (80504 or 80505) in either Dxs or Comos then
- 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 **)
- If comorbid CRF (351-00) exists then the following must not appear in Admit/Acquired codes
Diagnoses, Comos vs. Tasks, locations
Apache vs. CRF comorbid
- see Check ApARF CRF.
Apache vs. ARF Dx
cross-checks impossible due to different definitions, see ARF (Diagnosis) and ARF (APACHE)
Template:Data Integrity Checks that can not be checked before sending
Related Articles
see Category:Renal Problem for other renal problems