Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis
ICD-10 N06.4 is a billable code used to indicate a diagnosis of isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis.
Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritis is a condition characterized by the presence of excess protein in the urine (proteinuria) without other significant renal impairment. This condition is often associated with diffuse endocapillary proliferative glomerulonephritis, which is a type of kidney inflammation affecting the glomeruli, the filtering units of the kidneys. The endocapillary proliferation refers to the increase in the number of cells within the capillary loops of the glomeruli, leading to impaired kidney function over time. Patients may present with symptoms such as edema, hypertension, and hematuria, although some may be asymptomatic. The etiology can be idiopathic or secondary to systemic diseases such as lupus or infections. Genetic factors may also play a role, particularly in hereditary nephropathies. Diagnosis typically involves urinalysis, serum creatinine levels, and sometimes kidney biopsy to confirm the presence of glomerular inflammation. Management focuses on controlling underlying conditions, reducing proteinuria, and monitoring kidney function.
Detailed clinical history, laboratory results, and imaging studies.
Patients presenting with unexplained proteinuria, hypertension, or edema.
Ensure clear documentation of the type of glomerulonephritis and any associated systemic conditions.
Family history, genetic testing results, and clinical findings.
Patients with a family history of kidney disease or unexplained renal symptoms.
Document any genetic testing performed and its implications for diagnosis and treatment.
Often ordered alongside renal function tests in patients with proteinuria.
Document the reason for the lipid panel in relation to kidney disease.
Nephrologists may order this test to assess cardiovascular risk in patients with chronic kidney disease.
Isolated proteinuria can indicate early kidney disease and may require further evaluation to determine the underlying cause. It is essential to monitor and manage to prevent progression to chronic kidney disease.
