Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis
ICD-10 N04.5 is a billable code used to indicate a diagnosis of nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis.
Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis is characterized by a combination of nephrotic syndrome symptoms and the histological findings of diffuse mesangiocapillary glomerulonephritis. Nephrotic syndrome is defined by the presence of significant proteinuria (greater than 3.5 grams per day), hypoalbuminemia, edema, and hyperlipidemia. In diffuse mesangiocapillary glomerulonephritis, there is a proliferation of mesangial cells and an increase in mesangial matrix, leading to a thickening of the capillary walls. Patients may present with symptoms such as foamy urine due to proteinuria, swelling in the legs and abdomen due to edema, and possible hematuria. Renal biopsy findings typically reveal mesangial proliferation and capillary wall changes. Management often involves corticosteroids, immunosuppressive agents, and supportive care to control symptoms and prevent complications such as infections and thromboembolic events.
Detailed renal function tests, biopsy results, and treatment plans.
Patients presenting with edema, proteinuria, and renal impairment.
Ensure that all laboratory results and clinical findings are clearly documented to support the diagnosis.
Histopathological reports detailing findings from renal biopsies.
Biopsy evaluations for patients with suspected glomerulonephritis.
Accurate description of glomerular changes is crucial for proper coding.
Used when a renal biopsy is performed to confirm the diagnosis of diffuse mesangiocapillary glomerulonephritis.
Documentation of the indication for biopsy and the results of the procedure.
Nephrology specialists should ensure that the biopsy results are clearly linked to the diagnosis.
The primary cause is often immune-mediated damage to the glomeruli, which can be associated with infections, drugs, or systemic diseases. Accurate diagnosis requires renal biopsy.
