Chronic obstructive pyelonephritis
ICD-10 N11.1 is a billable code used to indicate a diagnosis of chronic obstructive pyelonephritis.
Chronic obstructive pyelonephritis is a long-standing kidney infection characterized by inflammation of the renal pelvis and interstitial tissue, often resulting from recurrent urinary tract infections (UTIs) or obstructive uropathy. This condition can lead to significant renal damage and is frequently associated with hydronephrosis, where urine accumulates in the kidney due to obstruction. The obstruction may be caused by anatomical abnormalities, kidney stones, or tumors. Chronic interstitial nephritis may also develop as a result of prolonged inflammation, leading to progressive renal impairment. Patients may present with symptoms such as flank pain, fever, and dysuria. Diagnosis typically involves imaging studies, urinalysis, and urine cultures to identify the causative pathogens. Management often includes antibiotic therapy tailored to the specific organism, addressing any underlying obstruction, and monitoring renal function to prevent further complications.
Detailed history of renal function, imaging studies, and laboratory results.
Management of chronic kidney disease secondary to obstructive pyelonephritis.
Ensure clear documentation of renal function tests and any interventions performed.
Surgical notes if obstruction is treated surgically, imaging results, and patient history.
Surgical intervention for kidney stones causing obstruction.
Document the type of obstruction and any procedures performed to relieve it.
Used to evaluate hydronephrosis in patients with suspected obstructive pyelonephritis.
Document indications for ultrasound and findings.
Nephrology and Urology may require specific imaging protocols.
Common causes include recurrent urinary tract infections, anatomical abnormalities, kidney stones, and tumors that obstruct urine flow.
Diagnosis typically involves imaging studies such as ultrasound or CT scans, urinalysis, and urine cultures to identify infections.
