Past history, transplanted kidney: Difference between revisions
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Ttenbergen (talk | contribs) m (Text replacement - "Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4" to "Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29") |
Ttenbergen (talk | contribs) m (moved cross check requirements into Query check_ICD10_ESRD_and_AKI_only_if_transplant) |
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{{ICD10 category|Past medical history}}{{ICD10 category|Renal/urinary}}{{ICD10 category|Transplant}} | {{ICD10 category|Past medical history}}{{ICD10 category|Renal/urinary}}{{ICD10 category|Transplant}} | ||
== Additional Info == | == Additional Info == | ||
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* [[(T) Kidney]] | * [[(T) Kidney]] | ||
* [[Transplant]] | * [[Transplant]] | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
Revision as of 16:58, 2019 June 18
| ICD10 Diagnosis | |
| Dx: | Past history, transplanted kidney |
| ICD10 code: | Z94.0 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | Renal disease |
| APACHE Como Component: | Immunocompromised |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
How to use this in regard to patient moving through their hospital admission
- These notes are to resolve possible ambiguity for the situation where the patient received the transplant during the current hospitalization.
- Of course if the transplant occurred during a prior hospitalization, then this code can be used.
- But what about if the transplant was done during the current hospitalization, and they move from place to place within the hospital?
- If the person was admitted to the service directly after the transplant surgery, this code isn't used. For example, patient came in for elective transplant, had it, and came directly to SICU. In that case the SICU database record would have ESRD as an admitting diagnosis, and the transplant would be indicated by a CCI procedure code for it. So the SICU database record would not list Past history, transplanted kidney.
- Continuing that example, after SICU the person routinely went to the ward for further routine postop convalesence, then again ESRD is an admitting diagnosis, and the transplant would be indicated by a CCI procedure code for it. So again this ward database record would not list Past history, transplanted kidney.
- But, if the person was in SICU post-transplant, then went to a surgery ward where they developed new problem such as DKA, and was then transferred to your Medicine ward, in that case it would be appropriate to code Past history, transplanted kidney.
- So in brief, if a person had the kidney transplant during the current hospitalization, you'd only code Past history, transplanted kidney in the current database record if the reason for being admitted to your unit (ward or ICU) was a different problem, i.e. not the kidney transplant.
Kidney transplant vs ESRD
- If the patient has a Past history, transplanted kidney, do not also code the Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 that occurred in the native kidneys, which was the reason for the transplant because having had ESRD is implied in having had a kidney transplant.
- Exception: If the transplanted kidney has completely failed (e.g. the patient is back on dialysis), then do also code: Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15, because now it applies to the transplanted kidney. Also code Kidney transplant, failure or rejection or unspecified complication.
Alternate ICD10s to consider coding instead or in addition
Other transplant codes:
Candidate Combined ICD10 codes
- Kidney, acute renal failure NOS
- Kidney, acute tubular necrosis (ATN)
- Prerenal uremia/state
- 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
Related CCI Codes
If the transplant happened during this admission and not as past history, code the following CCI instead:
Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check_ICD10_ESRD_vs_kidney_transplant | CCMDB.accdb | implemented |
Related Articles
Show all ICD10 Subcategories