Nephrotic syndrome with minor glomerular abnormality
ICD-10 N04.0 is a billable code used to indicate a diagnosis of nephrotic syndrome with minor glomerular abnormality.
Nephrotic syndrome is characterized by a triad of symptoms: significant proteinuria, hypoalbuminemia, and edema. In cases classified under N04.0, the nephrotic syndrome is associated with minor glomerular abnormalities, which may not be evident on routine light microscopy but can be identified through electron microscopy or immunofluorescence. Patients typically present with symptoms such as swelling in the legs, abdomen, or around the eyes, and may also experience fatigue and weight gain due to fluid retention. Laboratory findings often reveal proteinuria exceeding 3.5 grams per day, low serum albumin levels, and possible hematuria. Renal biopsy may show minimal changes, which is indicative of the minor glomerular abnormality. Management of nephrotic syndrome often involves corticosteroids, diuretics for edema, and angiotensin-converting enzyme (ACE) inhibitors to reduce proteinuria. Regular follow-up with nephrology is essential to monitor kidney function and manage complications.
Detailed clinical notes including symptoms, lab results, and treatment plans.
Patients presenting with edema, proteinuria, and renal function monitoring.
Ensure renal biopsy results are clearly documented to support the diagnosis.
Growth and development assessments alongside nephrotic syndrome management.
Children presenting with nephrotic syndrome symptoms and requiring steroid therapy.
Consider age-specific presentations and management protocols.
When a renal biopsy is performed to confirm the diagnosis of nephrotic syndrome.
Document indication for biopsy, findings, and any complications.
Nephrology specialists should ensure biopsy results are clearly linked to the diagnosis.
Common symptoms include significant swelling (edema), especially in the legs and around the eyes, fatigue, and weight gain due to fluid retention. Patients may also experience foamy urine due to high protein content.
Diagnosis is typically made through clinical evaluation, laboratory tests showing proteinuria, low serum albumin, and possibly a renal biopsy to assess glomerular changes.
