Nephrotic syndrome with diffuse crescentic glomerulonephritis
ICD-10 N04.7 is a billable code used to indicate a diagnosis of nephrotic syndrome with diffuse crescentic glomerulonephritis.
Nephrotic syndrome with diffuse crescentic glomerulonephritis is a severe kidney disorder characterized by the presence of nephrotic syndrome symptoms, including significant proteinuria, hypoalbuminemia, and edema, alongside the histological finding of crescentic glomerulonephritis. This condition arises when there is rapid deterioration of kidney function due to inflammation and scarring of the glomeruli, leading to the formation of crescents in the Bowman’s space. Patients typically present with symptoms such as swelling, foamy urine due to protein loss, and possible hematuria. Renal biopsy is crucial for diagnosis, revealing crescent formation in more than 50% of glomeruli, indicating severe glomerular injury. Management often involves corticosteroids, immunosuppressive agents, and supportive care to control symptoms and prevent complications such as acute kidney injury and chronic kidney disease. Early intervention is essential to improve outcomes and preserve renal function.
Detailed renal biopsy reports, lab results showing proteinuria and hematuria, and clinical notes on patient symptoms.
Patients presenting with edema, foamy urine, and renal impairment; follow-up visits for management of nephrotic syndrome.
Ensure that all relevant lab results and clinical findings are documented to support the diagnosis.
Comprehensive pathology reports detailing glomerular changes and crescent formation.
Biopsy evaluations for suspected glomerulonephritis cases.
Accurate reporting of histological findings is critical for proper coding.
Used when a renal biopsy is performed to confirm crescentic glomerulonephritis.
Biopsy report must be included in the patient's medical record.
Nephrologists must ensure that the biopsy findings are clearly documented.
Crescentic changes indicate severe glomerular injury and are associated with rapid progression to kidney failure, necessitating prompt diagnosis and treatment.
