Renal dialysis care, including dialysis itself: Difference between revisions
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| OldDxArticle =Pt Monitored while on Dialysis | | OldDxArticle =Pt Monitored while on Dialysis | ||
| CurrentStatus = reconciled | | CurrentStatus = reconciled | ||
| InitialEditorAssigned = | | InitialEditorAssigned = not assigned | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | | MinimumCombinedCodes = | ||
| ICD10 Code=Z49 | | ICD10 Code=Z49 | ||
| | | StopDate = 2018-12-28 | ||
}} | }} | ||
{{ICD10 category|Misc}}{{ICD10 category|Healthcare contact}} | {{ICD10 category|Misc}}{{ICD10 category|Healthcare contact}} | ||
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== Additional Info == | == 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)]] | |||
**[[CRRT ( | * ICD10 | ||
**[[ | :{{ListICD10Category | categoryName = Renal failure}} | ||
* | |||
=== 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 == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Chronic kidney disease}} | {{ListICD10Category | categoryName = Chronic kidney disease}} | ||
{{ListICD10Category | categoryName = Renal failure}} | {{ListICD10Category | categoryName = Renal failure}} | ||
*[[Hyperkalemia, severe or symptomatic]] | |||
*[[Hyperkalemia | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI 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. | |||
**{{TISS w Nr | CRRT (TISS Item)}} | |||
**{{TISS w Nr | Intermittent hemodialysis (TISS Item)}} | |||
**{{TISS w Nr | Peritoneal dialysis (TISS Item)}} | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == |
Latest revision as of 11:40, 2020 December 15
Legacy Content
This page contains Legacy Content.- Explanation: This is a legacy diagnosis, its stop date is in the past.
- Successor: No successor was entered
Click Expand to show legacy content.
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 |
This diagnosis is a part of ICD10 collection.
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.
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
Candidate Combined ICD10 codes
Related CCI Codes
Related TISS Codes
- Also may have to code appropriate TISS items for this.
Data Integrity Checks (automatic list)
none found
Related Articles
Show all ICD10 Subcategories