APR DRG of the Week: APR-DRG 422:Hypovolemia & Related Electrolyte Disorders
Change the Principal diagnosis
- Alternate principal diagnoses recommended by FairCode docs include ...
- 599.0 Urinary tract infection → DRG 463
- 401.9 Hypertension → DRG 199
- 780.4 Vertigo → DRG 111
- 486 Pneumonia → DRG 139
- 780.2 Syncope → DRG 204
- 535.50 Gastroparesis → DRG 254
- 584.9 Acute renal failure → DRG 460
- 998.89 Complication of procedure → DRG 813
- Renal, fluid, and electrolyte disorders: 788.30 Urinary incontinence, 584.9 Acute renal failure, 276.2 Acidosis, 585.X Chronic kidney disease Stage III or greater, or 599.0 Urinary tract infection
- Cardiovascular conditions: 458.9 Hypotension, 426.52 Right bundle branch block with Left anterior hemiblock, 427.1 Ventricular tachycardia, 397.0 Tricuspid regurgitation 428.0 Congestive heart failure
- Endocrine conditions: 250.02 Diabetes, uncontrolled,
- Nutritional conditions: 263.X malnutrition, 783.7 Adult failure to thrive, 278.01 Morbid obesity, V85.41 BMI over 40, 266.1 Vitamin D deficiency
- Infectious diseases: 486 Pneumonia
- Gastrointestinal conditions: 577.1 Pancreatitis, 783.0 Anorexia
- Dermatologic conditions: 707.0X Decubitus Ulcer + Stage
Add a Procedure
- Look for laparoscopic procedures performed for obesity
Discussion
- Coding Clinic 3rd Q 2002 advises listing acute renal failure as principal when a patient is admitted with both acute renal failure and dehydration.