Pt Monitored while on Dialysis

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Renal dialysis care, including dialysis itself, Medical noncompliance

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Category/Organ System:	Category: Renal (old)
Type:	Medical Problem
Main Diagnosis:	Pt Monitored while on Dialysis
Sub Diagnosis:	PRIMARY REASON to UNIT - MONITOR WHILE ON DIALYSIS
Diagnosis Code:	39800
Comorbid Diagnosis:	No
Charlson Comorbid coding (pre ICD10):	0
Program:
Status:

Notes: May 3.03

• In ICD10, code patients who missed their dialysis tx and are admitted to ICU for urgent HD in the following way:
  • Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 in comorbs.
  • Renal dialysis care, including dialysis itself in comorbs.
  • HD (Hemodialysis) from CCI picklist, as acquired, if they were dialyzed in your unit.
  • Medical noncompliance in admit codes.
  • Any other diagnosis that resulted in the ICU admission, in admit codes. Ex. Hyperkalemia, CHF, etc.

• If they are merely borrowing the ICU space to dialyze a patient, they should not be entered into our database.
• If the patient is admitted under the care of the ICU Attending, then they should be entered into our database as an ICU admission.
  • This is what the ICU program has advised.--TOstryzniuk 14:54, 27 April 2011 (CDT)
• Don't use this code for patients admitted for acute problem.Code them as whatever the reason they came.ie CHF,Hyperkalemia etc.