Atrophy of kidney (terminal)
ICD-10 N26.1 is a billable code used to indicate a diagnosis of atrophy of kidney (terminal).
Atrophy of the kidney, classified as terminal, refers to a significant reduction in kidney size and function, often resulting from chronic kidney disease or ischemic nephropathy. This condition can arise due to prolonged ischemia, leading to irreversible damage and loss of renal parenchyma. Patients may present with symptoms of renal insufficiency, including fatigue, fluid retention, and electrolyte imbalances. The atrophy can be unilateral or bilateral, with bilateral atrophy often indicating a more severe underlying pathology. Diagnostic imaging, such as ultrasound or CT scans, may reveal reduced kidney size, while laboratory tests can show elevated creatinine and urea levels, indicating impaired renal function. Management typically focuses on addressing the underlying cause, managing complications, and preparing for potential renal replacement therapy, such as dialysis or transplantation. Understanding the nuances of this condition is crucial for accurate coding and appropriate patient management.
Detailed history of kidney function, lab results, imaging studies, and treatment plans.
Patients with chronic kidney disease progressing to end-stage renal disease, requiring dialysis or transplantation.
Ensure all comorbidities are documented to support the complexity of care.
Surgical history, imaging results, and any interventions performed.
Patients with obstructive uropathy leading to kidney atrophy.
Document any surgical interventions that may impact kidney function.
Used for patients with end-stage renal disease due to kidney atrophy.
Document the need for dialysis and the patient's renal function status.
Nephrology specialists should ensure comprehensive documentation of the patient's history and treatment plan.
The primary cause of kidney atrophy is often chronic ischemia, which can result from conditions such as renal artery stenosis, uncontrolled hypertension, or diabetes.
