Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis
ICD-10 N01.2 is a billable code used to indicate a diagnosis of rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis.
Rapidly progressive nephritic syndrome (RPNS) is characterized by a swift decline in renal function, often leading to end-stage renal disease within weeks to months. This condition is associated with diffuse membranous glomerulonephritis, which is marked by the presence of subepithelial immune complex deposits along the glomerular capillary walls. Clinically, patients typically present with a triad of symptoms: hematuria, proteinuria, and renal insufficiency. Hematuria manifests as blood in the urine, while proteinuria can lead to nephrotic syndrome, characterized by significant protein loss in urine, edema, and hypoalbuminemia. Renal biopsy findings often reveal diffuse thickening of the glomerular capillary walls, with immunofluorescence microscopy showing granular deposits of IgG and complement components. Management of RPNS involves addressing the underlying cause, which may include immunosuppressive therapy, corticosteroids, and supportive care to manage complications such as hypertension and electrolyte imbalances.
Detailed clinical notes on symptoms, lab results, and biopsy findings.
Patients presenting with acute renal failure, hematuria, and proteinuria.
Ensure all laboratory results and imaging studies are documented to support the diagnosis.
Comprehensive reports on renal biopsy findings, including immunofluorescence and electron microscopy results.
Biopsy evaluations for patients with suspected glomerulonephritis.
Pathology reports must clearly indicate the type of glomerular disease to support nephrology coding.
Used when a renal biopsy is performed to confirm diagnosis.
Biopsy report must be included in the patient's medical record.
Nephrologists must document the indication for biopsy clearly.
Key symptoms include hematuria, significant proteinuria, edema, and a rapid decline in renal function.
