AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 1; Ask the Editor
Dehydration and Acute Kidney Injury (Acute Renal Failure)
A patient is admitted after an episode of unresponsiveness secondary to syncope and urinary tract infection (UTI). The focus of treatment was directed at the syncope (CT of the head, cardiac work-up, etc.). During the admission, it is noted that the patient also had mild acute kidney injury (AKI) that was treated with intravenous hydration. The provider’s discharge diagnosis is syncope secondary to dehydration and AKI. Should AKI always be sequenced as the principal diagnosis, when a patient presents with an acute kidney injury and dehydration? ...
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