Nephrotic syndrome with other morphologic changes
ICD-10 N04.8 is a billable code used to indicate a diagnosis of nephrotic syndrome with other morphologic changes.
Nephrotic syndrome is characterized by a triad of symptoms: significant proteinuria, hypoalbuminemia, and edema. The presence of 'other morphologic changes' indicates that the nephrotic syndrome is associated with additional renal pathology, which may include glomerulonephritis or other structural abnormalities observed through renal biopsy. Patients typically present with symptoms such as swelling in the legs, abdomen, or around the eyes, and may also experience hematuria (blood in urine) and hypertension. The underlying causes can vary widely, including primary kidney diseases like minimal change disease or focal segmental glomerulosclerosis, as well as secondary causes such as diabetes mellitus or systemic lupus erythematosus. Diagnosis often involves urinalysis showing high levels of protein, renal function tests, and imaging studies. A renal biopsy may be necessary to determine the specific morphologic changes and guide treatment. Management typically includes corticosteroids, diuretics, and medications to control blood pressure and cholesterol levels.
Detailed renal biopsy reports, lab results showing proteinuria and hematuria, and clinical notes on patient symptoms.
Patients presenting with edema, proteinuria, and renal dysfunction; management of steroid-resistant nephrotic syndrome.
Ensure accurate documentation of the type of nephrotic syndrome and any associated renal pathology.
Comprehensive reports on renal biopsy findings, including descriptions of glomerular changes.
Evaluation of renal biopsies for suspected nephrotic syndrome.
Pathology reports must clearly delineate morphologic changes to support nephrology coding.
Used when a renal biopsy is performed to determine the cause of nephrotic syndrome.
Biopsy report detailing findings and indications for the procedure.
Nephrologists must ensure that the biopsy findings correlate with the diagnosis for accurate coding.
N04.8 is used for nephrotic syndrome with other morphologic changes, while N04.0 is specifically for nephrotic syndrome with minimal change disease. Accurate coding depends on the documentation of the specific morphologic changes observed in renal biopsy.
