EmailAcute kidney injury
Publication Date: September 2012
ICD 10 AM Edition: Seventh edition
Query Number: 2723
Clinicians at our hospital have started to document acute kidney injury (AKI) for patients who have acute renal failure (ARF).
We have also started to see them respond to documentation queries with the new term even when we ask whether the patient has ARF.
Literature explains that acute kidney injury has now replaced the term acute renal failure.
If you were to follow the index, you will end up with an injury code:
Injury
- kidney NEC S37.00
In the absence of trauma, should we be coding acute kidney injury to N17.9 Acute kidney failure, unspecified?
Search Details:
http://www.renal.org/clinical/guidelinessection/AcuteKidneyInjury.aspx
We have also started to see them respond to documentation queries with the new term even when we ask whether the patient has ARF.
Literature explains that acute kidney injury has now replaced the term acute renal failure.
If you were to follow the index, you will end up with an injury code:
Injury
- kidney NEC S37.00
In the absence of trauma, should we be coding acute kidney injury to N17.9 Acute kidney failure, unspecified?
Search Details:
http://www.renal.org/clinical/guidelinessection/AcuteKidneyInjury.aspx
Response
VICC advises that in the absence of trauma, the term acute kidney injury can be used interchangably with the term acute kidney failure. Coders however must ensure that before assigning N17.9 Acute kidney failure, unspecified for documentation of acute kidney injury that the term refers to a medical patient and is not trauma related.
VICC advises that the Alphabetic Index was changed for Ninth Edition to:
Injury
-kidney NEC S37.00
--nontraumatic – see Failure/kidney
VICC advises that the Alphabetic Index was changed for Ninth Edition to:
Injury
-kidney NEC S37.00
--nontraumatic – see Failure/kidney
