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ICD-10 Guide
ICD-10 CodesN06.7

N06.7

Billable

Isolated proteinuria with diffuse crescentic glomerulonephritis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N06.7 is a billable code used to indicate a diagnosis of isolated proteinuria with diffuse crescentic glomerulonephritis.

Key Diagnostic Point:

Isolated proteinuria with diffuse crescentic glomerulonephritis refers to a condition characterized by the presence of protein in the urine (proteinuria) without other significant renal symptoms, alongside the histological finding of crescentic glomerulonephritis. This type of glomerulonephritis is marked by the formation of crescents in the glomeruli, which can lead to rapid progression to renal failure if not treated promptly. The isolated proteinuria indicates that the protein leakage is not accompanied by other renal dysfunctions such as hematuria or significant renal impairment at the time of diagnosis. This condition can be associated with various underlying causes, including autoimmune diseases, infections, or hereditary nephropathies. Genetic testing may be warranted to identify hereditary factors contributing to the glomerular disorder, especially in cases with a family history of kidney disease. Accurate diagnosis and coding are crucial for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of glomerular pathology and histological findings.
  • Differentiation from other types of proteinuria and glomerulonephritis.
  • Potential overlap with hereditary nephropathies and other systemic diseases.
  • Need for precise documentation of clinical findings and laboratory results.

Audit Risk Factors

  • Inadequate documentation of proteinuria severity and duration.
  • Failure to document the histological findings from renal biopsy.
  • Misclassification of the type of glomerulonephritis.
  • Lack of genetic testing documentation when indicated.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed renal function tests, urinalysis results, and biopsy findings.

Common Clinical Scenarios

Patients presenting with unexplained proteinuria, renal biopsy results indicating crescentic glomerulonephritis.

Billing Considerations

Ensure that all relevant laboratory results and clinical assessments are documented to support the diagnosis.

Genetics

Documentation Requirements

Family history of kidney disease, results of genetic testing.

Common Clinical Scenarios

Patients with a family history of nephropathy or unexplained renal failure.

Billing Considerations

Documentation of genetic counseling and testing results is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use N06.7 When
  • Follow the official ICD
  • CM coding guidelines for coding conditions related to proteinuria and glomerulonephritis
  • Ensure that the diagnosis is supported by clinical documentation and laboratory findings

Exclusion Criteria

Do NOT use N06.7 When
  • Exclude conditions that do not meet the criteria for this specific code

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of renal biopsy

Clinical Scenario

Used when a renal biopsy is performed to confirm crescentic glomerulonephritis.

Documentation Requirements

Pathology report detailing the findings of the biopsy.

Specialty Considerations

Nephrologists must ensure that biopsy results are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of renal conditions, including isolated proteinuria with diffuse crescentic glomerulonephritis, which enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of renal conditions, including isolated proteinuria with diffuse crescentic glomerulonephritis, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of renal conditions, including isolated proteinuria with diffuse crescentic glomerulonephritis, which enhances the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of crescentic glomerulonephritis?

Crescentic glomerulonephritis is a severe form of glomerular inflammation that can lead to rapid kidney failure. It is characterized by the presence of crescents in the glomeruli, indicating significant damage and necessitating prompt diagnosis and treatment.