Renal Coding Considerations (old): Difference between revisions

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There are a few restrictions about which renal diagnoses can be coded together. These checks are currently done partly by Pagasa ([[!_Automated_Data_Integrity_Checks#CRF_vs_ARF]]) and have been partly implemented in [[CCMDB.mdb]].
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|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]]
|successor=[[ICD10 Guideline for Renal Coding]]
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== CRF vs transplant ==
See also [[ICD10 Guideline for Renal Coding]]
Wonder if this should really go here, but needed it out of "!automated checks"
`Just a comment about CRF 351, When pt receiving a Renal Transplant 361,who then has complications and requires dialysis, they can have 350, 352 and 364, which is related to their new donor kidney.--[[User:FLindell|FLindell]] 08:36, 25 November 2008 (CST)


== {{Data Integrity Checks}} ==
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]].
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.mdb]], more are to follow.


=== {{CCMDB Data Integrity Checks}}: Competing Diagnoses ===
== CRF in pt with transplant failure ==
''see [[Check Renal IncompatibleDxs]]''
Just a comment about '''[[CRF - Chronic Renal Failure]]''': when pt has [[Renal Transplant Problems]] and/or [[Renal Transplant|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.
* If no [[Renal Transplant]] (80504 or 80505) in either Dxs or Comos then
 
** If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must '''not''' appear in Admit/Acquired codes
== [[:Category:Renal insufficiency (old)]] ==
*** [[ARI]] (364-00)  
*'''Comorbid'''
*** [[Acute Tubular Necrosis | ATN]]  (352-00)
**[[Renal insufficiency-mild (creatinine 160-240 mmol)]]
*** [[ARF (Diagnosis)]]  (350 **)  
**[[Renal Insufficiency-moderate (Cr greater than 240)]]
*'''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 ===
=== Diagnoses, Comos vs. Tasks, locations ===
* see [[Check_Renal_Tasks]]
==== Discussion ====
{{discussion}}
* see [[Check_Renal_Tasks]]
* see [[Check_Renal_Tasks]]


=== Apache vs. CRF comorbid ===
=== Apache vs. CRF comorbid ===
* see [[Check ApARF CRF]].  
* see [[Query check ApARF CRF]].  


=== Apache vs. ARF Dx ===
=== Apache vs. ARF Dx ===
cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]]
cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]]


== {{Data Integrity Checks}} that can '''not''' be checked before sending==
== Data Integrity Checks that can '''not''' be checked before sending==
{{discussion}} * are all these in {{Cleaner.mdb Data Integrity Checks}} yet?
* ''Query check_CCI_TISS_Dxs_vs_Dialysis''
===ARF and ICU TISS ===
* TISS28 32 to 34: Don't forget to cross check the TISS form with the diagnosis and visa versa.
 
===ARF & TISS integrity checks===
* have TISS 32,33,34 but no Renal failure DX (350, 351, 352, 355, 356, 398, 450-499, 327, 357)
* from community hosp to teaching hosp with DX of 350 AND no dialysis on TISS at community hosp AND DX of 350 AND TISS 32,33 or 34 marked at teaching hospital, then the DX of ARF for community hospital is correct.
(This integrity check is for Julie only for her SASS program) 
See comment for data collectors:
 
===ARF transfer considerations ===
** When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there.  Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF.  When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding.  Trish please let me know if this is the way you also see it.  I believe the above information for integrity checks is wrong.  --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)
{{discussion}}
Are you talking about the ARF checkbox in Apache or the DX? [[User:Ttenbergen|Ttenbergen]] 14:45, 21 July 2011 (CDT)
 
== Related Articles ==
see [[:Category:Renal Problem]] for other renal problems
 


== Related articles ==
see [[:Category:Renal Problem (old)]] for other renal problems
{{Related Articles}}


[[Category: Renal Problem]]
[[Category:Renal Problem (old)]]
}}

Latest revision as of 16:31, 2021 December 30

Legacy Content

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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)

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

Related articles:
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