Chronic nephritic syndrome
Chapter 14:Diseases of the genitourinary system
ICD-10 N03 is a used to indicate a diagnosis of chronic nephritic syndrome.
Chronic nephritic syndrome (N03) encompasses a group of kidney disorders characterized by persistent inflammation of the glomeruli, which can lead to significant renal impairment. This category includes various forms of chronic glomerulonephritis, such as membranous nephropathy, minimal change disease, and focal segmental glomerulosclerosis. These conditions are often associated with symptoms such as hematuria, proteinuria, and hypertension, and can progress to end-stage renal disease if not managed appropriately. The clinical significance of chronic nephritic syndrome lies in its potential to cause chronic kidney disease, necessitating early diagnosis and intervention to prevent further renal deterioration and associated complications.
Detailed patient history, laboratory results including urinalysis and serum creatinine, imaging studies if applicable, and treatment plans.
Management of chronic kidney disease, monitoring patients with glomerulonephritis, and evaluating renal function in diabetic patients.
Ensure differentiation between types of nephritic syndrome for appropriate coding and treatment.
Complete physical examination findings, management of comorbidities, and lab test results related to kidney function.
Assessment of hypertension related to renal disorders, managing electrolyte imbalances, and coordinating care with nephrology.
Document any referral to nephrology and the rationale for management strategies to support coding.
Comprehensive evaluation of urinary symptoms, imaging results, and any surgical history related to urinary tract issues.
Evaluation of hematuria, urinary tract infections related to nephritic syndrome, and managing complications from chronic kidney disease.
Be aware of potential overlap with urological conditions and ensure accurate coding to avoid confusion.
Rapid evaluation and stabilization notes, laboratory tests, and imaging studies performed in the emergency setting.
Management of acute kidney injury, hypertensive emergencies, and evaluating patients presenting with acute renal failure.
Document the acute presentation clearly, differentiating it from chronic conditions for accurate coding.
Record of the urinalysis results and specific findings related to nephritic syndrome.
Documentation of the urine collection method and total protein results.
Ultrasound report detailing findings, including any abnormalities noted.
Clear documentation of indications for the procedure and results.
Diabetes management plan and results of the A1C test.
N03 includes chronic forms of glomerulonephritis such as membranous nephropathy, minimal change disease, and focal segmental glomerulosclerosis, among others.
N03 codes should be used when a patient is diagnosed with chronic nephritic syndrome, particularly when there is evidence of persistent glomerular inflammation and associated symptoms.
Documentation should include clinical findings, laboratory results indicating proteinuria and hematuria, and any imaging studies that support the diagnosis of chronic nephritic syndrome.
