Query check ICD10 ESRD vs ARF
| Data Integrity Checks | |
| Summary: | Can't have ESRD and acute renal failure |
| Related: | list of related pages (probably the one it's on, but there might be others...) |
| Firmness: | hard check |
| Timing: | complete |
| App: | CCMDB.mdb |
| Coding: | how to find this in containing program, eg. SAS file, function name, query name... |
| Uses L Problem table: | not relevant for this app |
| Status: | needs review |
| Implementation Date: | |
| Backlogged: | true |
This is about codes N17-N19:
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acute vs comorbid and other clarifications |
- This would only be for admit/acquired Dxs, right? Because someone could have Chronic kidney disease (uremia, chronic renal insufficiency) Stage 1 as Comorbid Diagnosis and now have Kidney, acute renal failure NOS as Admit Diagnosis, right?
- I think what we really want here is: can't have ESRD and (N17 or N19)
Transplant patients
Clearly this works OK for those without transplant. But it also works WITH a failed or failing transplant if we also make the rules that
- If a person has a functioning kidney transplant, do NOT code the ESRD they had before the transplant (i.e. Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5 goes without saying).
- Never code both [Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and any of the acute renal failure codes.
- The only time you might be inclined to do so is in the presence of a failed kidney transplant, where the ESRD would refer to the failure of the native kidney, and the acute renal failure to the transplanted kidney, but don't do it even there, because the FACT of a kidney transplant automatically indicates that ESRD had occurred