Recurrent and persistent hematuria
Chapter 14:Diseases of the genitourinary system
ICD-10 N02 is a used to indicate a diagnosis of recurrent and persistent hematuria.
N02 is the ICD-10 category code for recurrent and persistent hematuria, which refers to the presence of blood in the urine that occurs repeatedly over time. This condition can arise from various underlying causes, including urinary tract infections, kidney stones, tumors, or glomerular diseases. Clinically, hematuria can be a significant indicator of renal or urinary tract pathology, necessitating thorough evaluation to determine the etiology and appropriate management. It is essential for healthcare providers to recognize the potential seriousness of recurrent hematuria, as it may signal more severe conditions such as malignancies or significant renal impairment.
Detailed history of renal function, laboratory results including urinalysis, imaging studies, and any relevant medical history.
Evaluation of patients with chronic kidney disease presenting with hematuria, assessment of glomerular diseases, or complications from systemic diseases affecting the kidneys.
Ensure that the underlying cause of hematuria is documented, especially if it relates to glomerular pathology or systemic conditions.
Comprehensive assessment including physical examination findings, imaging studies (e.g., ultrasound, CT scan), and laboratory results specific to urological pathology.
Management of patients with urinary tract infections, kidney stones, or tumors leading to hematuria, and post-operative follow-ups for urological surgeries.
Documentation should clarify the nature of the hematuria (gross vs. microscopic) and any associated symptoms, as these can impact treatment decisions.
Immediate evaluation findings, vital signs, initial laboratory results, and any imaging conducted during the emergency visit.
Management of acute hematuria cases, including trauma, severe infections, or renal colic due to stones.
Emergency documentation must emphasize the urgency and any life-threatening conditions that may be associated with the hematuria.
Complete medical history including comorbidities, medication review, and laboratory results pertinent to systemic conditions affecting the kidneys.
Patients with systemic diseases such as hypertension or diabetes presenting with hematuria and requiring multidisciplinary evaluation.
Consideration of potential systemic causes of hematuria, and documentation should reflect the investigative approach and management plan.
Indication for ultrasound, findings of the scan, and any recommendations based on results.
Pathological findings, clinical indications for the biopsy, and follow-up plans.
Date of urinalysis, results including presence of blood, and any symptoms associated with findings.
Indications for the radiographic study and findings from the images.
Indications for cystoscopy, findings during the procedure, and any interventions performed.
N02 includes conditions characterized by recurrent or persistent hematuria, which may be due to urinary tract infections, kidney stones, glomerular diseases, or malignancies of the urinary tract.
N02 codes should be used when a patient presents with recurrent or persistent hematuria, and after appropriate evaluation has been conducted to rule out serious underlying conditions.
Documentation must include the patient's history of hematuria, results of any diagnostic tests performed, and any identified underlying causes or contributing factors.
