Renal dialysis care, including dialysis itself

 

 

 

 

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ICD10 Diagnosis
Dx:	Renal dialysis care, including dialysis itself
ICD10 code:	Z49
Pre-ICD10 counterpart:	Pt Monitored while on Dialysis
Charlson/ALERT Scale:	Renal disease
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:	2018-12-28
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2018-12-28
  • Z49

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Additional Info

Code retired

Almost every case of dialized patient can be determined by looking at the following, so we decided having this extra code was not necessary. We realize that it will make certain cross checks impossible.

• CCI
  • PD (Peritoneal dialysis)
  • HD (Hemodialysis)
  • CRRT (incl volume removal via PRISMA device)
• ICD10

other info

• Use this code together with Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 in comorbs, to identify ESRD patients on chronic HD.
• Although this could be used as an Admit Diagnosis if in fact they're being admitted for dialysis (in which case, it should be linked to the diagnosis for which they're getting admitted for acute dialysis), it's PREFERRED that when someone is admitted for acute dialysis that you code the cause/reason it's needed (e.g. hyperkalemia) AND the CCI code for the dialysis.
• If the ICU space is merely borrowing the ICU space to dialyze a patient, the patient should not be entered into our database.

Alternate ICD10s to consider coding instead or in addition

• Hyperkalemia, severe or symptomatic

Candidate Combined ICD10 codes

Related CCI Codes

• PD (Peritoneal dialysis)
• HD (Hemodialysis)
• CRRT (incl volume removal via PRISMA device)

Related TISS Codes

• Also may have to code appropriate TISS items for this.
  • T33 - CRRT (TISS Item)
  • T32 - Intermittent hemodialysis (TISS Item)
  • T34 - Peritoneal dialysis (TISS Item)

Data Integrity Checks (automatic list)

none found

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