Template:ICD10 Guideline ESRD vs Acute renal failure

This template contains info that is relevant to all the acute renal failure diagnoses.

To use:

{{ICD10 Guideline ESRD vs Acute renal failure}}

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ESRD vs Acute renal failure

• Do NOT code both
  • Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15

AND

• Any of the acute renal failure diagnoses (Kidney, acute tubular necrosis (ATN), Kidney, acute renal failure NOS, Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic, Kidney, acute renal failure, postprocedural)

• UNLESS the patient has had a renal transplant and the transplanted kidney was functioning (and thus can experience acute renal failure)

• But it is possible to code both one of the Acute Renal Failure/AKI codes AND one of the "lesser" CRF codes:
  • Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90
  • Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89
  • Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59
  • Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29

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Background/History

This has been discussed repeatedly over time. Here is an attempt at a Chronology, newest first

• In emails on 2022-06-23 Julie, Lisa and Tina decided to hold off on the change from the day before to review reasons why this was changed before.
• 2022-06-22 - At JALT meeting we discussed definition for query Check CRF vs ARF across multiple encounters; instructions were changed to no longer allow ARF to be collected at same time as CRF (I can't remember the reasons, can Julie or Lisa fill in?)
• 2020-01-23 - Task(10) we discussed this at task: Some mild Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 cases can have AKI, so this rule no longer makes sense.
• 2019-08-22 - Discussed in context of Check CRF vs ARF across multiple encounters and decided that, since people can come off dialysis, there might really be a new acute after having been on dialysis; messy so decided not to implement this
• at some point we defined AKI by Template:ICD10 Guideline KDIGO Guidelines for Acute Renal Failure
• at some point we defined Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90 rather than defining CRF by "on dialysis" as we had before
• when we moved to ICD10 there was a desire to maintain that rule
• pre/ancient: We used to not allow this in the old dx coding schema