Query check CCI ICD10 Dialysis no Dx

Data Integrity Checks
Summary:	If a profile has one of the #Dialysis CCI Items there should also be one of the #Dialysis qualifying Dxs.
Related:	Peritoneal dialysis (TISS Item), CRRT (TISS Item), Intermittent hemodialysis (TISS Item), Kidney, acute renal failure NOS, Kidney, acute renal failure, postprocedural, Kidney, acute tubular necrosis (ATN), Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic, Kidney, acute renal failure, postprocedural, Kidney, acute renal failure NOS, Kidney, acute tubular necrosis (ATN), Hyperkalemia, severe or symptomatic, Congestive heart failure with pulmonary edema, Fluid overload, Acidosis, NOS, Kidney, renal tubular acidosis (RTA, all types), Aspirin or other salicylate or NSAID, overdose/toxicity, Antiseizure drug NOS, overdose/toxicity, Insulin or other antidiabetes drug, overdose/toxicity, Psychiatric drug NOS, adverse effect, Drug or biological substance/agent NOS, overdose/toxicity, Alcohol (ethanol), poisoning, Toxic alcohols, poisoning, Calcium channel blocker, overdose/toxicity
Firmness:	hard check
Timing:	complete
App:	CCMDB.accdb
Coding:	query check_CCI_ICD10_Dialysis_no_Dx
Uses L Problem table:	not relevant for this app
Status:	implemented
Implementation Date:	2021-10-27
Backlogged:	true

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If a profile has one of the #Dialysis CCI Items there should also be one of the #Dialysis qualifying Dxs.

Dialysis CCI Items

• CRRT (TISS Item) (T33)
• Peritoneal dialysis (TISS Item) (T34)
• Intermittent hemodialysis (TISS Item) (T32)
• PD (Peritoneal dialysis) (1.PZ.21.HP-D4)
• HD (Hemodialysis) (1.PZ.21.HQ-BR)
• CRRT (incl volume removal via PRISMA device) (1.PZ.21.HQ-BS)

Dialysis qualifying Dxs

• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90 (N18.1)
• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89 (N18.2)
• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59 (N18.3)
• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29 (N18.4)
• Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 (N18.5)
• Chronic kidney/renal disease, NOS (stage unspecified) (N18.9)
• Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic (N19)
• Kidney, acute renal failure, postprocedural (N99.0)
• Kidney, acute renal failure NOS (N17.9)
• Kidney, acute tubular necrosis (ATN) (N17.0)
• Hyperkalemia, severe or symptomatic (E87.5)
• Congestive heart failure with pulmonary edema (I50.1)
• Fluid overload (E87.7)
• Metabolic acidosis:
  • Acidosis, NOS (E87.2)
  • Kidney, renal tubular acidosis (RTA, all types) (N25.8)
• Drug overdoses and poisonings -- the main ones are:
  • Aspirin & other salicylates -- Aspirin or other salicylate or NSAID, overdose/toxicity (T39.0)
  • Valproic acid, carbemazepine (Tegretol), phenytoin (Dilantin), barbiturates -- Antiseizure drug NOS, overdose/toxicity (T42.6)
  • Metformin -- Insulin or other antidiabetes drug, overdose/toxicity (T38.3)
  • Lithium -- Psychiatric drug NOS, adverse effect (Y49.8)
  • Theophylline -- Drug or biological substance/agent NOS, overdose/toxicity (T50.9)
  • Alcohols --
    • Alcohol (ethanol), poisoning (T51.0)
    • Toxic alcohols, poisoning (T51.8)
  • Diltiazem -- Calcium channel blocker, overdose/toxicity (T46.1)
  • Occasionally a few others (rare)

Allan confirmed that we would not need to add covid because if used in that context, renal failure would also be coded.