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ICD-10 Guide
ICD-10 CodesN06.20

N06.20

Billable

Isolated proteinuria with diffuse membranous glomerulonephritis, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N06.20 is a billable code used to indicate a diagnosis of isolated proteinuria with diffuse membranous glomerulonephritis, unspecified.

Key Diagnostic Point:

Isolated proteinuria refers to the presence of excess protein in the urine without other significant urinary abnormalities. This condition can be indicative of underlying kidney issues, particularly glomerular disorders. Diffuse membranous glomerulonephritis is characterized by the thickening of the glomerular capillary walls due to the deposition of immune complexes, leading to protein leakage into the urine. The condition can be idiopathic or secondary to other diseases such as infections, drugs, or malignancies. The diagnosis of isolated proteinuria with diffuse membranous glomerulonephritis is often made through urinalysis, which shows elevated protein levels, and further confirmed by kidney biopsy if necessary. Genetic factors may also play a role, particularly in hereditary nephropathies, which can present similarly. Accurate coding is essential for proper management and treatment, as well as for tracking the prevalence of kidney diseases in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary and secondary causes of proteinuria
  • Need for comprehensive patient history to identify potential hereditary factors
  • Variability in clinical presentation and laboratory findings
  • Potential overlap with other glomerular disorders

Audit Risk Factors

  • Inadequate documentation of proteinuria severity
  • Failure to specify the type of glomerulonephritis
  • Lack of supporting lab results
  • Misclassification of primary vs. secondary causes

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed history of renal function, urinalysis results, and any imaging or biopsy findings.

Common Clinical Scenarios

Patients presenting with unexplained proteinuria, follow-up of known glomerular diseases, or hereditary nephropathies.

Billing Considerations

Ensure that all relevant lab results and patient history are documented to support the diagnosis.

Genetics

Documentation Requirements

Family history of kidney disease, results of genetic testing, and any relevant clinical findings.

Common Clinical Scenarios

Patients with a family history of nephropathy or those presenting with atypical features of glomerular disease.

Billing Considerations

Documentation of genetic testing results is crucial for accurate coding and understanding hereditary implications.

Coding Guidelines

Inclusion Criteria

Use N06.20 When
  • According to ICD
  • 10 guidelines, N06
  • 20 should be used when isolated proteinuria is documented without further specification of the type of membranous glomerulonephritis
  • It is important to ensure that the diagnosis is supported by appropriate clinical documentation and laboratory findings

Exclusion Criteria

Do NOT use N06.20 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81002CPT Code

Urinalysis, automated, with microscopy

Clinical Scenario

Used to evaluate protein levels in patients suspected of having glomerular disorders.

Documentation Requirements

Document the reason for urinalysis and any relevant patient history.

Specialty Considerations

Nephrologists should ensure that the urinalysis results are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like isolated proteinuria with diffuse membranous glomerulonephritis, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like isolated proteinuria with diffuse membranous glomerulonephritis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    Kidney Disease: Improving Global Outcomes (KDIGO)

Coding & Billing References

  • •
    Kidney Disease: Improving Global Outcomes (KDIGO)

Frequently Asked Questions

What is the significance of isolated proteinuria?

Isolated proteinuria can indicate underlying kidney damage and may require further evaluation to determine the cause, including potential glomerular disorders.