Isolated proteinuria with specified morphological lesion
Chapter 14:Diseases of the genitourinary system
ICD-10 N06 is a billable code used to indicate a diagnosis of isolated proteinuria with specified morphological lesion.
Isolated proteinuria refers to the presence of excess protein in the urine without other significant urinary abnormalities. This condition can be indicative of underlying glomerular disorders, particularly when associated with specific morphological lesions observed in renal biopsies. These lesions may include minimal change disease, focal segmental glomerulosclerosis, or other glomerulonephritides. Isolated proteinuria can be hereditary, often linked to genetic mutations affecting kidney function. In cases where proteinuria is a symptom of a disease classified elsewhere, such as diabetes or hypertension, it is crucial to identify the primary condition to ensure accurate coding. Genetic testing may be warranted to identify hereditary nephropathies, especially in pediatric patients or those with a family history of kidney disease. The clinical evaluation of isolated proteinuria typically involves urinalysis, serum creatinine levels, and possibly renal imaging or biopsy to ascertain the underlying cause and guide treatment.
Detailed renal biopsy reports, urinalysis results, and clinical history of proteinuria.
Patients presenting with unexplained proteinuria, family history of kidney disease, or abnormal renal function tests.
Ensure that the specific morphological lesions are documented and correlate with the diagnosis.
Family history assessments, genetic testing results, and clinical evaluations of hereditary conditions.
Patients with a known family history of nephropathy or those presenting with early-onset kidney disease.
Document genetic testing results clearly to support coding for hereditary nephropathies.
Used when a renal biopsy is performed to assess morphological lesions.
Biopsy report detailing findings and correlation with clinical symptoms.
Nephrologists must ensure that the biopsy findings are clearly linked to the diagnosis of isolated proteinuria.
Specifying morphological lesions is crucial as it directly impacts the accuracy of the diagnosis and treatment plan. It helps differentiate between various types of glomerular disorders and ensures appropriate management.
