07-25-2017, 01:29 AM | Community Wiki

Results 1 to 8 of 8

DX code for AKI (Acute Kidney Injury)

  1. #1
    Red face DX code for AKI (Acute Kidney Injury)
    Medical Coding Books
    I'm seeking help from anyone out there w/nephrology experience. What would be the correct dx code for AKI, Acute Kidney Injury. The ICD-9 book directs me to 866.00 however I do not feel comfortable using this code as it relates to more of a trauma type injury. My doc uses this dx frequently as it relates to patients with other health complications that have affected the kidney. I was considering possibly 593.9 but again am just not sure. I'm new to the Nephrology world!! Thank you in advance for any help you can provide!!

    Ellen Risotti, CPC

  2. #2
    You are right NOT to use 866.00. That is a trama injury to the kidney. I think your physician might mean ARF (Acute Renal Failure, 584.9). If a patient's creatinine is elevated because of other health complications, it might be ARF. But on the other hand, if a patient has had HTN for several years, or any other underlying disease that leads into CKD (chronic kidney disease) you would use the 585 codes.(585.1-585.5).
    Hope this helps!!

  3. #3
    Gulf Coast - GCAPC
    Just an FYI for you...

    It seems that "Acute Kidney Injury" is new terminology approved by the National Kidney Foundation instead of using "acute renal failure". Don't know why they wanted that - which has no diagnosis code attached to it. It was creating a lot of havoc w/ our coders, too.

    After asking the state coding quality foundation, they were stumped too because they said "terminology within specialties seems to change quicker than is indicated by terminology used to assign codes within ICD-9... It would be inapropriate to assign 584.9 when documentation is only 'acute kidney injury' "... Then they said we should submit this to the Coding Clinic since they were sure that we wouldn't be the only ones to face this concern.

    So, it seems that others are still in the same boat!! Sheesh!
    Rhonda Winder, CPC

  4. #4
    Duluth, Minnesota
    I was stumped on this one, "injury"... I think Kathyrod is correct and perhaps your providers need to change their verbiage when documenting the issues. (however, like I just stated in another post - good luck with getting that done) I would agree the trauma code would be wrong to use.

    rmwinder - wow! thanks for that info! sheesh is right!

    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  5. Default acute kidney injury
    Glad to hear that others have the same frustrations! My facility has a new, young doctor, and I have been getting this diagnosis a lot. However, she seems to always state it as Acute Renal Failure WITH acute kidney injury. Hmmm. . .

  6. Default
    ICD-9 584, ICD-10 N17, synonyms: renal failure, acute renal failure, ARF, primary acute renal failure, ... Acute renal failure (ARF) or acute kidney injury (AKI), ...
    renal failure associated with burns or other trauma or with acute infection or obstruction of the urinary tract
    Synonym: acute kidney failure.renal failure associated with burns or other trauma or with acute infection or obstruction of the urinary tract
    Synonym: acute kidney failure.

    The lack of a standard definition for acute kidney injury has resulted in a large variation in the reported incidence and associated mortality. RIFLE, a newly developed international consensus classification for acute kidney injury, defines three grades of severity – risk (class R), injury (class I) and failure (class F) – but has not yet been evaluated in a clinical series.

  7. #7
    Sioux Falls South Dakota
    ICD9-CM: 584.9 Acute kidney failure, unspecified
    Acute kidney injury (nontraumatic)
    Excludes [I] traumatic kidney injuey (866.0-866.13)[I]

    Our nephrologists have been using the terminology of AKI instead of ARF for some time. Since the ICD9-CM does have it listed under acute kidney failure, we use the 584.9 if they are not more specific by telling us if there is a lesion and where.

    Hope this helps,

  8. #8
    Default Coding Clinic Re: Acute Kidney Injury

    There is a coding clinic that address this, CC 3Q 2011 pg 16. And it says 584.9 IS appropriate. In my encoder, Trucode, under 584.9 Acute Kidney Failure, Unspecified, it lists ACUTE KIDNEY INJURY(NONTRAUMATIC)

    Hope this helps,
    Shari, RN, CPC-A

Similar Threads

  1. Acute Uncomplicated Illness or Injury
    By Leahrose45 in forum E/M
    Replies: 1
    Last Post: 04-18-2014, 03:33 PM
  2. cardiorenal syndrome with acute kidney failure only
    By amydar in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-09-2014, 01:40 PM
  3. History of/late effects of diagnosis vs acute injury diagnosis
    By debiwill in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-09-2012, 09:03 AM
  4. Replies: 1
    Last Post: 01-26-2011, 04:44 PM
  5. Acute Cellular Rejection-Kidney Transplant
    By Krisb615 in forum Diagnosis Coding
    Replies: 0
    Last Post: 01-19-2011, 11:02 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.