Other chronic tubulo-interstitial nephritis
ICD-10 N11.8 is a billable code used to indicate a diagnosis of other chronic tubulo-interstitial nephritis.
Chronic tubulo-interstitial nephritis is a condition characterized by the inflammation and fibrosis of the renal interstitium and tubules, leading to progressive renal dysfunction. This condition can arise from various etiologies, including recurrent urinary tract infections (UTIs), drug-induced nephropathy, and systemic diseases. Pyelonephritis, a specific type of kidney infection, can contribute to chronic interstitial nephritis if left untreated, resulting in scarring and loss of kidney function. Hydronephrosis, which occurs when urine flow is obstructed, can also lead to interstitial nephritis due to increased pressure and subsequent damage to renal tissues. Drug-induced nephropathy is a significant cause of chronic tubulo-interstitial nephritis, often associated with nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, and other medications. Management typically involves addressing the underlying cause, such as treating UTIs with appropriate antibiotics, and monitoring renal function to prevent progression to end-stage renal disease. The complexity of this condition lies in its multifactorial nature and the need for comprehensive clinical evaluation and documentation.
Detailed renal function tests, medication history, and imaging studies.
Patients with chronic kidney disease, recurrent UTIs, or history of nephrotoxic drug use.
Ensure clear documentation of the chronic nature and any contributing factors to avoid misclassification.
Surgical notes, imaging results, and history of urinary obstruction.
Patients with hydronephrosis or recurrent pyelonephritis.
Document any interventions performed to relieve obstruction or treat infections.
Used to evaluate renal structure in patients with suspected chronic nephritis.
Document indications for ultrasound and findings.
Nephrology and Urology may both utilize this procedure for diagnosis.
Common causes include recurrent urinary tract infections, drug-induced nephropathy, and systemic diseases such as diabetes and hypertension.
Chronic forms typically present with a gradual decline in renal function over months to years, while acute forms present with sudden onset symptoms and rapid changes in renal function.
