Other nephrotic syndrome with diffuse membranous glomerulonephritis
ICD-10 N04.29 is a billable code used to indicate a diagnosis of other nephrotic syndrome with diffuse membranous glomerulonephritis.
N04.29 refers to a specific type of nephrotic syndrome characterized by diffuse membranous glomerulonephritis, which is a condition where the glomeruli (the filtering units of the kidneys) become inflamed and thickened due to the deposition of immune complexes. This leads to significant proteinuria, often exceeding 3.5 grams per day, and can result in edema, hypertension, and hyperlipidemia. Patients may also present with hematuria, although it is less common in membranous glomerulonephritis compared to other forms of glomerulonephritis. Diagnosis typically involves renal biopsy, which reveals diffuse thickening of the glomerular capillary walls and subepithelial immune complex deposits. Management may include corticosteroids, immunosuppressive agents, and supportive care to control symptoms and prevent complications. Regular monitoring of renal function and proteinuria is essential to assess disease progression and treatment efficacy.
Detailed clinical notes on symptoms, lab results, and treatment plans are essential. Documentation of renal biopsy findings is critical.
Patients presenting with edema, proteinuria, and renal impairment; follow-up visits for monitoring treatment response.
Ensure accurate coding of proteinuria levels and any concurrent renal conditions.
Pathology reports must clearly describe the histological findings of the renal biopsy.
Biopsy evaluations for patients with suspected glomerulonephritis.
Pathology findings must correlate with nephrology documentation for accurate coding.
Used when a renal biopsy is performed to confirm diagnosis.
Pathology report and clinical notes supporting the need for biopsy.
Nephrology must document the rationale for biopsy.
Renal biopsy is crucial for confirming the diagnosis of diffuse membranous glomerulonephritis, as it provides histological evidence of the condition and helps differentiate it from other types of nephrotic syndrome.
