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ICD-10 Guide
ICD-10 CodesN02.7

N02.7

Billable

Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis

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

Code Description

ICD-10 N02.7 is a billable code used to indicate a diagnosis of recurrent and persistent hematuria with diffuse crescentic glomerulonephritis.

Key Diagnostic Point:

N02.7 refers to a condition characterized by recurrent and persistent hematuria, which is the presence of blood in the urine, associated with diffuse crescentic glomerulonephritis. This type of glomerulonephritis is marked by the formation of crescents in the glomeruli, indicating severe inflammation and damage to the kidney's filtering units. Patients typically present with symptoms such as hematuria, proteinuria, and varying degrees of renal impairment. The condition can be secondary to various underlying diseases, including autoimmune disorders, infections, or vasculitis. Diagnosis often involves renal biopsy, which reveals crescent formation and may show immunofluorescence patterns indicative of specific etiologies. Management typically includes immunosuppressive therapy, corticosteroids, and supportive care to control blood pressure and proteinuria. Early intervention is crucial to prevent progression to end-stage renal disease.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires understanding of nephrology terminology and conditions.
  • Involves differentiating between various types of glomerulonephritis.
  • Documentation must support the diagnosis of recurrent and persistent hematuria.
  • Need for accurate coding of associated conditions such as proteinuria.

Audit Risk Factors

  • Inadequate documentation of hematuria frequency and persistence.
  • Failure to document renal biopsy results.
  • Misclassification of the type of glomerulonephritis.
  • Lack of clear linkage between symptoms and diagnosis.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed clinical notes on hematuria, renal function tests, and biopsy results.

Common Clinical Scenarios

Patients presenting with hematuria, proteinuria, and renal impairment requiring nephrology consultation.

Billing Considerations

Ensure that all laboratory results and imaging studies are documented to support the diagnosis.

Pathology

Documentation Requirements

Pathology reports detailing renal biopsy findings, including crescent formation and immunofluorescence results.

Common Clinical Scenarios

Biopsy specimens from patients with suspected glomerulonephritis.

Billing Considerations

Accurate reporting of histological findings is crucial for proper coding.

Coding Guidelines

Inclusion Criteria

Use N02.7 When
  • Follow official ICD
  • CM guidelines for coding nephritis and glomerulonephritis
  • Ensure that documentation supports the diagnosis of recurrent and persistent hematuria with specific mention of crescentic glomerulonephritis

Exclusion Criteria

Do NOT use N02.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88172CPT Code

Renal biopsy, percutaneous, needle

Clinical Scenario

Used when a renal biopsy is performed to confirm crescentic glomerulonephritis.

Documentation Requirements

Document indication for biopsy, findings, and any complications.

Specialty Considerations

Nephrologists must ensure that the biopsy results are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like N02.7, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like N02.7, improving the accuracy of data collection and reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis.

Reimbursement & Billing Impact

reimbursement processes. It emphasizes the need for detailed documentation to support the diagnosis.

Resources

Clinical References

  • •
    American Academy of Nephrology

Coding & Billing References

  • •
    American Academy of Nephrology

Frequently Asked Questions

What is the significance of crescentic glomerulonephritis?

Crescentic glomerulonephritis indicates severe kidney damage and can lead to rapid renal failure if not treated promptly. It requires immediate medical attention and often aggressive treatment.