Renal Coding Considerations (old)
Legacy Content
This page contains Legacy Content.- Explanation: These are so different in ICD10 that we made a new page: ICD10 Guideline for Renal Coding
- Successor: ICD10 Guideline for Renal Coding
Click Expand to show legacy content.
See also ICD10 Guideline for Renal Coding
There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa and have been partly implemented in CCMDB.accdb.
CRF in pt with transplant failure
Just a comment about CRF - Chronic Renal Failure: when pt has Renal Transplant Problems and/or Renal Transplant - Removal of Transplant-Organ and requires dialysis, they can have acquired diagnoses of ARF (Diagnosis), Acute Tubular Necrosis (ATN) and/or ARI, which is related to their new donor kidney.
Category:Renal insufficiency (old)
- Comorbid
- Admit or complication
- ARI there is a different range - creatinine rise of >250 mmol OR a rise of >100 mmol from baseline over 24 hrs.
- No dialysis or
- N history of CRF
- if patient required acute dialysis, it is not due to renal insufficiency - please see ARF
- This is in the code book but not on the Wiki. (code books OLD so folks should not use).
Data Integrity Checks
These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken. Some of them have been added to CCMDB.accdb, more are to follow.
CCMDB Data Integrity Checks: Competing Diagnoses
see query Check Renal IncompatibleDxs
Diagnoses, Comos vs. Tasks, locations
Apache vs. CRF comorbid
Apache vs. ARF Dx
cross-checks impossible due to different definitions, see ARF (Diagnosis) and ARF (APACHE)
Data Integrity Checks that can not be checked before sending
- Query check_CCI_TISS_Dxs_vs_Dialysis
Related articles
see Category:Renal Problem (old) for other renal problems
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