ARF (Diagnosis): Difference between revisions

Revision as of 11:19, 2016 April 29

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Kidney, acute renal failure NOS

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Category/Organ System:	Category: Renal (old)
Type:	Category: Medical Problem (old)
Main Diagnosis:	Acute Renal Failure
Sub Diagnosis:	35000 ACUTE RENAL FAILURE (Newly Dialyzed) 35001 - Pre Renal 35003 - Post Renal 35005 - 2nd to Drug Sensitivity/toxicity
Diagnosis Code:	350**
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:	Critical Care and Medicine
Status:	Currently Collected

Note: Information on this page applies to the diagnosis code of Acute Renal Failure only; for the apache checkbox see ARF (APACHE)

Acute Renal Failure

newly dialyzed - which means new dialysis started during this hospital admission for a patient that was not on out patient dialysis prior to current hospital admission.

The ARF diagnosis only applies if patients actually receive dialysis or CRRT at that location. If a pt does not receive dialysis you can code ARI or ATN instead. See Renal Coding Considerations
Acute renal failure can have a pre-renal source or a post-renal source. Pre-renal sources are most common like shock states, low perfusion, toxic causes, etc. Post-renal causes refer to obstructive causes of renal failure like obstructive nephropathy from blocked ureter for example.

There are a number of coding rules related to renal diagnoses, centralized info about them is in Renal Coding Considerations.

@@ Line 11: / Line 11: @@
 =={{G|Guideline}}==
-*'''newly dialyzed''' - which means '''new''' dialysis started during this hospital admission for a patient that was '''not''' on '''out patient''' dialysis '''prior to''' current hospital admission.
+*'''newly dialyzed''' - which means '''new''' dialysis '''started during this hospital admission''' for a patient that was '''not''' on '''out patient''' dialysis '''prior to''' current hospital admission.
 * Patient does not have [[CRF - Chronic Renal Failure]]
-* The '''Bold text''''''Bold text'''ARF diagnosis only applies if patients actually receive dialysis or CRRT at that location.  If a pt does not receive dialysis you can code [[ARI]] or [[ATN]] instead.  See [[Renal Coding Considerations]]
+* The '''ARF diagnosis only applies''' if patients '''actually receive dialysis or CRRT at that location'''.  If a pt does not receive dialysis you can code [[ARI]] or [[ATN]] instead.  See [[Renal Coding Considerations]]
 * Acute renal failure can have a pre-renal source or a post-renal source.   Pre-renal sources are most common like shock states, low perfusion, toxic causes, etc.  Post-renal causes refer to obstructive causes of renal failure like obstructive nephropathy from blocked ureter for example.