Query check ICD10 only 1 stage of renal failure
| 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, 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, Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15, Chronic kidney/renal disease, NOS (stage unspecified) |
| Firmness: | hard check |
| Timing: | complete |
| App: | CCMDB.accdb |
| Coding: | Query check_ICD10_only_1_stage_of_renal_failure |
| Uses L Problem table: | not relevant for this app |
| Status: | implemented |
| Implementation Date: | 2019-06-18 |
| Backlogged: | true |
This is almost about Concept:Chronic Kidney Disease, but because of the ambiguous Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic the concept can not be used to define this.
change in stage during admission
There was a question whether a pt could have several stages during acquired. This is not the case. AG: 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.
CKI as both admit and comorbid
According to our collection instructions for Admit Diagnosis and Comorbid Diagnosis, and the instructions for these codes (e.g. Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90, the diagnoses could be coded as both an Admit Diagnosis and Comorbid Diagnosis. This check allows 1 CKD dx in each Dx Type of an admission.