Q&A: Reporting acute renal insufficiency due to dehydration in ICD-10-CM. ICD-10-CM code N28.9 is reported to capture the acute renal insufficiency. Based on your documentation, acute kidney injury/failure (N17.9) cannot be assigned. However, based on the clinical indicators documented, a query should be submitted to the provider to specify if...
Acute renal/kidney failure or injury is a sudden, severe onset of inadequate kidney function. There are many causes of acute renal/kidney failure/injury, however, when due to dehydration, it is because there is decreased renal blood flow from lower blood pressure because of the dehydration. This starts causing functioning problems with the kidney.
traumatic kidney injury ( ICD-10-CM Diagnosis Code S37.0. Injury of kidney 2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code. Type 2 Excludes acute kidney injury (nontraumatic) (N17.9) S37.0-)
This is a common diagnosis that a query is necessary for clarification. If the AKI has progressed to ATN then the code N17.0 is reported and not the code default in the Alphabetic Index for AKI. Other terms that may be used to describe ATN could be renal tubular necrosis or tubular necrosis.
Acute kidney failure, unspecified N17. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N17. 9 became effective on October 1, 2021.
Acute Kidney Failure/Injury Acute renal/kidney failure or injury is a sudden, severe onset of inadequate kidney function. There are many causes of acute renal/kidney failure/injury, however, when due to dehydration, it is because there is decreased renal blood flow from lower blood pressure because of the dehydration.
Causes of acute kidney injury Most cases of AKI are caused by reduced blood flow to the kidneys, usually in someone who's already unwell with another health condition. This reduced blood flow could be caused by: low blood volume after bleeding, excessive vomiting or diarrhoea, or severe dehydration.
ICD-10 code E86. 0 for Dehydration is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
ICD-10-CM code N28. 9 is reported to capture the acute renal insufficiency. Based on your documentation, acute kidney injury/failure (N17. 9) cannot be assigned.
Dehydration can cause a build-up of wastes and acids in the body, and it can clog the kidneys with muscle proteins (myoglobin). All these things can hurt the kidneys.
Hydronephrosis is the dilation or swelling of kidneys because of a blockage that stops urine from flowing out of the body. Hydronephrosis can be cured, depending on the cause. Complications include urinary infections, high blood pressure, kidney failure, and dehydration.
Severe dehydration is a potentially life-threatening medical emergency. It can cause serious damage to your kidneys, heart, and brain. To avoid severe hydration, respond to signs of dehydration by drinking fluids that rehydrate you.
The objective of this article is to examine the coding of hydration with CPT® codes 96360, Intravenous infusion, hydration; initial, 31 minutes to 1 hour, and 96361, Intravenous infusion, hydration; each additional hour. The purpose of hydration intravenous (IV) infusion is to hydrate.
9: Fever, unspecified.
Symptoms of dehydration in adults and children include:feeling thirsty.dark yellow and strong-smelling pee.feeling dizzy or lightheaded.feeling tired.a dry mouth, lips and eyes.peeing little, and fewer than 4 times a day.
Dehydration results from excessive water loss from body tissues. Etiologies include but are not limited to extensive vomiting, diarrhea, gastroenteritis, renal or adrenal disease, diabetes mellitus, diuretic therapy, or having an ileostomy or colostomy.
Acute renal/kidney failure or injury is a sudden, severe onset of inadequate kidney function. There are many causes of acute renal/kidney failure/injury, however, when due to dehydration, it is because there is decreased renal blood flow from lower blood pressure because of the dehydration. This starts causing functioning problems with the kidney.
Symptoms include oliguria, edema resulting from salt and water overload, nausea and vomiting, lethargy from the toxic effects of the waste products building up, hydronephrosis and at times metabolic acidosis. BUN and creatinine will be significantly elevated.
Once dehydration sets in, it can quickly start to affect many body organs. One of these is the kidneys. This can lead to acute renal/kidney failure/injury.
The coder should not be shy about escalating a case to CDI or a physician adviser if either diagnosis does not seem to be clinically validated, as this is part of a coder’s responsibility. As can be seen in the DRGs above, choosing one of these diagnoses over the other as PDX can impact reimbursement.
BUN and creatinine will be significantly elevated. There are several types of criteria for acute kidney failure/injury and some hospitals compile their own. Some well known clinical criteria for validating this diagnosis are: RIFLE (Risk of renal dysfunction, Injury to kidney, Failure or Loss of kidney function,
Dehydration has symptoms like fatigue, dizziness, dry mouth and tongue, extreme thirst, dark coloured urine, sunken eyes and cheeks.
Dehydration ICD 10 Codes are located in chapter 4 (endocrine nutritional and metabolic diseases, code range E00 – E89 and chapter 16 (conditions in perinatal period, code range P00-P96)
ATN occurs when there is damage to the kidney tubule cells. These are the cells that reabsorb fluid and minerals in the kidney from urine as it is forming. When this occurs, there is a lack of oxygen reaching the cells of your kidneys. N17.1—Acute kidney failure with acute cortical necrosis.
This is caused by infarction involving the medulla and referred to as necrotizing papillitis. N17.8—Other acute kidney failure.