AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 3; Ask the Editor

Present on Admission (POA) Indicator for Acute Kidney Injury (AKI) with Acute Tubular Necrosis (ATN)

A patient with myeloproliferative/myelodysplastic neoplasm, status post stem cell transplant was admitted due to multiple medical conditions, including mild acute kidney injury (AKI) that was present on admission with an unclear etiology. During the hospitalization, the patient developed acute tubular necrosis (ATN) due to sepsis that also developed after admission. AKI with ATN is classified to code N17.0, Acute kidney failure with tubular necrosis. What is the appropriate present on admission (POA) indicator for this code when the ATN was not present on admission and was due to sepsis? ...

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