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v1.0.0
ICD-10 Guide
ICD-10 CodesN15.0

N15.0

Billable

Balkan nephropathy

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

Code Description

ICD-10 N15.0 is a billable code used to indicate a diagnosis of balkan nephropathy.

Key Diagnostic Point:

Balkan nephropathy is a chronic kidney disease primarily associated with exposure to certain environmental factors, particularly in the Balkan region. It is characterized by interstitial nephritis, which leads to progressive renal impairment. The condition is often linked to the consumption of contaminated water and dietary factors, including the ingestion of certain mycotoxins. Clinically, patients may present with symptoms such as hematuria, proteinuria, and hypertension. The disease can progress to renal failure, necessitating dialysis or kidney transplantation. Pyelonephritis and urinary tract infections may complicate the clinical picture, particularly in patients with underlying renal dysfunction. Management typically involves addressing the underlying causes, monitoring renal function, and treating any associated infections with appropriate antibiotics. The chronic nature of Balkan nephropathy requires ongoing management and surveillance for complications, including hydronephrosis and drug-induced nephropathy due to polypharmacy in affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of environmental and dietary risk factors.
  • Differentiation from other forms of nephropathy.
  • Management of associated conditions like pyelonephritis.
  • Need for comprehensive documentation of renal function tests.

Audit Risk Factors

  • Inadequate documentation of environmental exposure history.
  • Failure to document associated conditions like pyelonephritis.
  • Misclassification of the severity of renal impairment.
  • Lack of follow-up documentation for chronic conditions.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed renal function tests, history of exposure, and management plans.

Common Clinical Scenarios

Patients presenting with chronic kidney disease and a history of living in endemic areas.

Billing Considerations

Need for ongoing monitoring of renal function and potential complications.

Infectious Disease

Documentation Requirements

Documentation of urinary tract infections and antibiotic management.

Common Clinical Scenarios

Patients with recurrent UTIs and renal impairment.

Billing Considerations

Consideration of antibiotic resistance patterns in treatment.

Coding Guidelines

Inclusion Criteria

Use N15.0 When
  • Follow ICD
  • CM guidelines for coding chronic kidney disease and associated conditions
  • Ensure accurate documentation of the stage of kidney disease and any complications
  • Include relevant history of exposure to environmental toxins

Exclusion Criteria

Do NOT use N15.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81002CPT Code

Urinalysis, automated, with microscopy

Clinical Scenario

Used to evaluate for urinary tract infections in patients with Balkan nephropathy.

Documentation Requirements

Document the reason for urinalysis and any relevant symptoms.

Specialty Considerations

Nephrology and Infectious Disease specialists should coordinate care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Balkan nephropathy, improving the ability to capture the complexity of the disease and its complications. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Balkan nephropathy, improving the ability to capture the complexity of the disease and its complications. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 are the common symptoms of Balkan nephropathy?

Common symptoms include hematuria, proteinuria, hypertension, and signs of chronic kidney disease such as fatigue and edema.

How is Balkan nephropathy diagnosed?

Diagnosis is based on clinical history, laboratory tests showing renal impairment, and imaging studies to assess kidney structure.

What is the treatment for Balkan nephropathy?

Treatment focuses on managing complications, monitoring renal function, and addressing any urinary tract infections with appropriate antibiotics.