Renal Coding Considerations (old): Difference between revisions

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== Data Integrity Rules ==
{{LegacyContent
If [[CRF - Chronic Renal Failure|CRF]] (351-00) is coded as comorbid then the following must not appear in Admit/Acquired codes
|explanation=These are so different in ICD10 that we made a new page: [[ICD10 Guideline for Renal Coding]]
* [[ARI]] (364-00)
|successor=[[ICD10 Guideline for Renal Coding]]
* [[Acute Tubular Necrosis | ATN]]  (352-00)
|content=
* [[ARF (Diagnosis)]]  (350 **) must '''not''' be coded as Admit/Acquired '''except''' if Renal Transplant (805 00) is also coded as a comorbid


These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
See also [[ICD10 Guideline for Renal Coding]]
===discussion===


* I think we decided to get rid of the renal transplant part for this, right? If so, please remove... [[User:Ttenbergen|Ttenbergen]] 15:38, 25 November 2008 (CST)
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]].


{{Discussion}}
== CRF in pt with transplant failure ==
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.


=== Discussion ===
== [[:Category:Renal insufficiency (old)]] ==
* So how do you check for patients with renal transplant in comorbid, done many years ago, but patient has been receiving outpatient dialysis for some time because of transplant failure prior to admission?  [[User:TOstryzniuk|TOstryzniuk]] 16:22, 8 October 2008 (CDT)
*'''Comorbid'''
** We just check the ''data'' as part of the checks done as requested by Julie. Your question seems to relate more to how the data collectors should be ''getting'' that data. You have identified an important question that should be addressed as part of the article [[Renal Transplant]]. Should we move this thread there instead? [[User:Ttenbergen|Ttenbergen]] 14:21, 18 February 2009 (CST)
**[[Renal insufficiency-mild (creatinine 160-240 mmol)]]
**[[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).


* discussion Tina/Julie: If having more than 1 encounter (i.e.: continuous or same hospital admission), then Codes 350 and 351 should not appear together in at least one of the encounters. Why should they occur together in any? That happens and definitely that is encoding error.  Ideally, should be all 350 in all encounters or all 351 in all encounters. Umm… ideally? So, flag it or not?  Flag it
== Data Integrity Checks ==
**Tina is correct, code is either 351 or 350 in all if continuous admission.[[User:TOstryzniuk|TOstryzniuk]] 16:22, 8 October 2008 (CDT)
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.
*** If I understand correctly that means that the current data integrity rule above takes care of this case already, since the special case was just eliminated, right? If so, this thread can be removed. [[User:Ttenbergen|Ttenbergen]] 15:32, 10 October 2008 (CDT)


* If a patient is newly admitted to the hospital with ARF (350 00 first time dialysis ever) and moves between units (continuous admission) and he is still requiring dialysis , he remains as ARF (350 -00) until he is discharged from from the hospital.
=== CCMDB Data Integrity Checks: Competing Diagnoses ===
** how would you know for sure that it was a first time dialysis ''ever''? All we can know it's not a regular ongoing thing. [[User:Ttenbergen|Ttenbergen]] 15:32, 10 October 2008 (CDT)
see [[query Check Renal IncompatibleDxs]]
** This instruction should go with the ARF article. And it is already there. So I think it should be removed from here. This article already refers to ARF for reference. It's not a good idea to spread the definitions over multiple pages since they will inevitably become inconsistent. I think this thread should be removed. [[User:Ttenbergen|Ttenbergen]] 15:32, 10 October 2008 (CDT)


* If this same patient is readmitted back to the hospital from the community, and was on outpatient dialysis, then new encounter to the hospital system, comorbid code is not CRF (351 00). [[User:TOstryzniuk|TOstryzniuk]] 16:22, 8 October 2008 (CDT)
=== Diagnoses, Comos vs. Tasks, locations ===
** That information is implied in the instructions. Also, our data collectors would not necessarily know that a patient was ever admitted before, so they would not be able to do much about this.  I think this thread should be removed. If you want to discuss further, I think it should be moved into [[CRF - Chronic Renal Failure|CRF]] since it really relates to how CRF should be collected. This article was intended just to summarize the relationships between the conditions. [[User:Ttenbergen|Ttenbergen]]
* see [[Check_Renal_Tasks]]


[[Category: Questions]]
=== Apache vs. CRF comorbid ===
[[Category: Data Integrity Rules]]
* see [[Query check ApARF CRF]].
[[Category: Diagnosis Questions]]
 
=== 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}}
 
[[Category:Renal Problem (old)]]
}}

Latest revision as of 16:31, 2021 December 30

Legacy Content

This page contains Legacy Content.

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)

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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