Query check ICD10 only 1 stage of renal failure

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Data Integrity Checks
Summary: can only have one stage of renal failure in Comorbid Diagnosis and in Admit Diagnosis
Related: Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5, Chronic kidney disease, NOS (stage unspecified), Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic, Renal Coding Considerations for ICD10
Firmness: hard check
Timing: complete
App: CCMDB.mdb
Coding: Query check_ICD10_only_1_stage_of_renal_failure
Uses L Problem table: not entered
Status: ready to implement
Implementation Date:

 

This is about Concept:Chronic Kidney Disease:

 Has ICD10Code
Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1N18.1
Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2N18.2
Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3N18.3
Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4N18.4
Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5N18.5
Chronic kidney disease, NOS (stage unspecified)N18.9
Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronicN19


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pt could have several stages during acquired, right? Is that how we would want to code deterioration?

  • AG REPLY -- not really. While one could have a lower level as a comorbid, and be admitted with what is finally decided to be an advancement of CRF (so that an admit dx is a higher level), in many cases what you'll have is some degree of CRF + an AKI on top of it. It's important to distinguish between these.
    • Emailed Michelle to find out if that is how she would have understood it as a renal-focused collector. Ttenbergen 08:25, 2019 January 24 (CST)
      • M said it made sense.