Unspecified nephritic syndrome
Chapter 14:Diseases of the genitourinary system
ICD-10 N05 is a billable code used to indicate a diagnosis of unspecified nephritic syndrome.
Unspecified nephritic syndrome refers to a clinical condition characterized by a combination of symptoms that indicate inflammation of the kidneys, particularly affecting the glomeruli. This syndrome is often associated with significant proteinuria (excess protein in urine), hematuria (blood in urine), and varying degrees of renal impairment. Patients may present with edema, hypertension, and renal dysfunction. The underlying causes can be diverse, including infections, autoimmune diseases, and systemic conditions. Diagnosis typically involves a thorough clinical evaluation, urinalysis showing proteinuria and hematuria, and may necessitate renal biopsy to ascertain the specific type of glomerulonephritis. Management strategies often include controlling blood pressure, reducing proteinuria, and addressing the underlying cause, which may involve immunosuppressive therapy or other targeted treatments. The unspecified nature of this code indicates that the specific etiology of the nephritic syndrome has not been determined, necessitating careful documentation and consideration of differential diagnoses.
Detailed clinical notes including symptoms, laboratory results, and treatment plans.
Patients presenting with edema, hypertension, and abnormal urinalysis findings.
Ensure that all relevant diagnostic tests and their results are documented to support the diagnosis.
Comprehensive patient history and physical examination findings, including any referrals to nephrology.
Initial evaluation of patients with suspected kidney disease based on routine lab tests.
Document any follow-up care or referrals to specialists for further evaluation.
When a renal biopsy is performed to determine the cause of nephritic syndrome.
Document indication for biopsy, findings, and any complications.
Nephrology specialists should ensure that the biopsy results are clearly linked to the diagnosis.
Nephritic syndrome is characterized by hematuria, proteinuria, and hypertension, while nephrotic syndrome primarily involves significant proteinuria, hypoalbuminemia, and edema without hematuria.