Icd 10 code for esrd

By: Gouri Pathare MBBS, CPC Kidney transplantation is a treatment option for most patients with End Stage Renal Disease (ESRD). The procedure may be deceased-donor (cadaveric) or living-donor transplantation. Living-donor renal transplants may be genetically related (living-related) or non-related (living-unrelated) transplants. Diabetes mellitus, hypertension, cystic kidney disease, urologic conditions, and external causes such as trauma and toxins, all may cause kidney failure. When kidneys cease to filter wastes and extra fluid from the bloodstream, renal failure is considered to be permanent and consideration must be given to hemodialysis and/or kidney transplantation. A common complication of kidney transplant is rejection of the transplanted organ. The body’s immune system, or defense mechanism, recognizes that something foreign is in the body and tries to destroy it When post-organ transplant patients present for care, the coder should review medical record documentation to determine whether the patient has any complications of the transplanted organ. Consider 996.81 Complications of transplanted kidney versus V42.7. Kidney replaced by transplant. Assign V42.7 only if there is no complication of the kidney transplant. Code V42.7 is never used with 996.81. V codes are status codes used to classify certain conditions that may have an impact on the patient’s health status. It is appropriate to assign 996.81 when the kidney transplant is being rejected by the patient, o...

The following is a summary of “LONG TERM OUTCOMES OF CATHETER ABLATION FOR ATRIAL FIBRILLATION IN PATIENTS WITH ATRIAL FIBRILLATION AND END STAGE RENAL DISEASE: ANALYSIS FROM NATIONWIDE READMISSION DATABASE,” published in the March 2023 issue of Cardiology by Thakkar, et al. For a study, the impact and long-term outcomes of catheter ablation for atrial fibrillation (AF) in patients with end-stage renal disease (ESRD) were evaluated by researchers, and the available data were found to be limited. The National Readmission Database (NRD) was used from 2017-2019 to identify patients with AF and ESRD who underwent AF ablation using appropriate ICD-10 codes. The primary outcome was mortality readmission at 6 months, and secondary outcomes were readmissions due to heart failure (HF), AF, and ischemic stroke at 6 months. Hazard ratios were generated using Cox proportional hazard regression. Of 138,647 patients with AF and ESRD, 595 underwent AF ablation. It was found that there was no significant reduction in mortality in patients with ESRD undergoing AF ablation compared to those without ablation (HR: 0.78, CI: 0.58-1.04, P =0.09). However, readmissions for AF, ischemic stroke, and heart failure were significantly reduced in patients with AF and ESRD undergoing AF ablation. In conclusion, while catheter ablation for AF in patients with ESRD is not associated with a significant reduction in mortality, it was found to reduce readmissions due to AF, HF, and ischemic stroke at 6 mont...

Have a CDI question? Send it to ACDIS! Q: How do you sequence end-stage renal disease (ESRD), hypertension (HTN), congestive heart failure (CHF), and diabetes when the patient is admitted with kidney disease which has progressed to ESRD and requires initiation of dialysis this admission? The heart failure is chronic. The ICD-10 combination code takes you to the heart failure DRG, which does not actively reflect the patient’s clinical presentation. Is this correct? A: You are not the only one struggling with some of the new guidelines and assumed relationships in ICD-10. Although there are numerous assumed relationships in ICD-10, sometimes between two or even three different conditions, we want to make sure to review the documentation in the medical record to make sure they are related and not due to another unrelated condition. Unfortunately, sometimes when an encounter is coded correctly, it may not seem to appropriately reflect the accurate clinical picture of the patient. The example you provided does go to DRG 291, Heart Failure and Shock, with MCC. Both HTN and diabetes may be the cause of ESRD and may require a query to clarify the cause. Often, when queried for clarification, the physician may not be able to determine which condition ultimately is the cause for the ESRD and may document that it is multifactorial in nature. There are assumed relationships for when either of these conditions are the cause of the ESRD. Code I13.2, Hypertensive heart and chronic kidney...