Renal and perinephric abscess
ICD-10 N15.1 is a billable code used to indicate a diagnosis of renal and perinephric abscess.
A renal and perinephric abscess is a localized collection of pus within the kidney or surrounding perinephric space, often resulting from a bacterial infection. This condition can arise as a complication of pyelonephritis, where the infection spreads from the renal pelvis to the renal parenchyma, leading to inflammation and necrosis. Interstitial nephritis, characterized by inflammation of the kidney interstitium, can also contribute to abscess formation. Hydronephrosis, the swelling of a kidney due to a build-up of urine, may predispose individuals to infections and subsequent abscesses. Drug-induced nephropathy, particularly from nephrotoxic medications, can compromise renal function and increase susceptibility to infections. Urinary tract infections (UTIs) are a common precursor to renal abscesses, especially in patients with underlying anatomical abnormalities or those with a history of recurrent UTIs. Management typically involves antibiotic therapy tailored to the causative organism, and in some cases, surgical intervention may be necessary to drain the abscess. Early recognition and treatment are crucial to prevent complications such as sepsis or renal failure.
Detailed clinical history, imaging results, and treatment plans.
Patients presenting with flank pain, fever, and signs of infection.
Documentation must clearly differentiate between abscess and other renal pathologies.
Surgical notes, imaging studies, and post-operative care documentation.
Patients requiring drainage of renal or perinephric abscesses.
Accurate coding of surgical procedures performed in conjunction with abscess management.
Used when a perinephric abscess is identified and requires surgical intervention.
Operative report detailing the procedure and findings.
Urology specialists should ensure accurate coding of the procedure performed.
Common causes include urinary tract infections, pyelonephritis, and complications from underlying conditions such as diabetes or immunosuppression.
Diagnosis typically involves imaging studies such as ultrasound or CT scans, along with clinical evaluation of symptoms.
Treatment often includes antibiotic therapy and may require surgical drainage depending on the size and severity of the abscess.
