Chronic Kidney Disease, Scoliosis and Acute Renal Failure

Chronic Kidney Disease

Chronic Kidney Disease

 

• Document the stage of CKD
    --Chronic kidney disease, stage 1
    --Chronic kidney disease, stage 2 (mild)
    --Chronic kidney disease, stage 3 (moderate)
    --Chronic kidney disease, stage 4 (severe)
    --Chronic kidney disease, stage 5
    --End-stage renal disease (ESRD)
• Document any underlying cause of CKD such as Diabetes or
Hypertension
• Document if the patient is dependent on Dialysis
• Chronic renal failure without a documented stage will be assigned to
Chronic kidney disease, unspecified
• Document any associated diagnoses/conditions

Scoliosis

• Specify type:
    --Infantile idiopathic
       °°Progressive
       °°Resolving
• Juvenile idiopathic
• Adolescent
• Other idiopathic
• Thoracogenic
• Neuromuscular
• Other secondary
• Other (specify)
• Specify site:
    --Cervical
    --Cervicothoracic
    --Thoracic
    --Thoracolumbar
    --Lumbar
    --Lumbosacral
    --Sacral
    --Sacrococcygeal
• Document any associated diagnoses/conditions

Acute Renal Failure

• Document underlying condition(s) contributing/causing acute renal
failure if known or suspected
• Document if acute kidney injury (AKI) is due to traumatic injury or if due
to a non-traumatic event
• Document if acute renal failure is due to:
    --Acute tubular necrosis (ATN)
    --Acute cortical necrosis
    --Acute medullary necrosis
    --Other (specify)
• Be specific with documentation
    --Acute renal insufficiency and acute kidney disease are not reported as
acute renal failure
• Document any associated diagnoses/conditions