Chronic nephritic syndrome with minor glomerular abnormality
ICD-10 N03.0 is a billable code used to indicate a diagnosis of chronic nephritic syndrome with minor glomerular abnormality.
Chronic nephritic syndrome with minor glomerular abnormality is characterized by persistent proteinuria, hematuria, and hypertension, often resulting from underlying glomerular diseases. This condition is typically associated with minimal changes in glomerular structure, which may not be evident on standard imaging or light microscopy but can be identified through electron microscopy. Patients may present with symptoms such as edema, fatigue, and decreased urine output. The pathophysiology involves immune-mediated damage to the glomeruli, leading to increased permeability and subsequent protein loss in urine. Diagnosis is often confirmed through renal biopsy, which may reveal minimal glomerular changes, and laboratory tests showing elevated serum creatinine and abnormal urinalysis findings. Management includes controlling blood pressure, reducing proteinuria with ACE inhibitors or ARBs, and addressing any underlying conditions. Regular monitoring of renal function and protein levels is essential to prevent progression to end-stage renal disease.
Detailed renal function tests, urinalysis results, and biopsy findings.
Patients presenting with persistent proteinuria and hematuria, requiring renal biopsy for diagnosis.
Ensure clear documentation of all laboratory results and treatment plans to support coding.
Comprehensive history and physical examination notes, including symptoms and lab results.
Patients with hypertension and unexplained edema, referred for nephrology evaluation.
Document any referrals and follow-up care to ensure continuity of care and accurate coding.
When a renal biopsy is performed to confirm diagnosis.
Document indication for biopsy, consent, and pathology results.
Nephrology specialists should ensure thorough documentation of the biopsy procedure and findings.
Key symptoms include persistent proteinuria, hematuria, hypertension, and edema. Patients may also experience fatigue and decreased urine output.
