Renal Coding Considerations (old)

See also Renal Coding Considerations for ICD10

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.

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) (old)

• Comorbid
  • 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).

Template: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.mdb, more are to follow.

CCMDB Data Integrity Checks: Competing Diagnoses

(will be done for Renal Coding Considerations for ICD10 see Check Renal IncompatibleDxs

• If no Renal Transplant (80504 or 80505) in either Dxs or Comos then
  • If comorbid CRF (351-00) exists then the following must not appear in Admit/Acquired codes
    • ARI (364-00)
    • ATN (352-00)
    • ARF (Diagnosis) (350 **)

Diagnoses, Comos vs. Tasks, locations

• see Check_Renal_Tasks

Apache vs. CRF comorbid

• see Check ApARF CRF.

Apache vs. ARF Dx

cross-checks impossible due to different definitions, see ARF (Diagnosis) and ARF (APACHE)

Template:Data Integrity Checks that can not be checked before sending

• Check CRF/ARF against TISS Dialysis

Related Articles

see Category:Renal Problem for other renal problems