Nonobstructive reflux-associated chronic pyelonephritis
ICD-10 N11.0 is a billable code used to indicate a diagnosis of nonobstructive reflux-associated chronic pyelonephritis.
Nonobstructive reflux-associated chronic pyelonephritis is a condition characterized by recurrent kidney infections due to the backflow of urine from the bladder into the kidneys, known as vesicoureteral reflux (VUR). This condition leads to chronic inflammation and scarring of the renal interstitium, which can result in renal impairment over time. Patients may present with symptoms such as flank pain, fever, and urinary symptoms like dysuria or increased frequency. Diagnosis typically involves imaging studies such as ultrasound or voiding cystourethrogram (VCUG) to assess for reflux and renal damage. Management often includes antibiotic prophylaxis to prevent recurrent urinary tract infections (UTIs) and may require surgical intervention in severe cases to correct the anatomical defect causing reflux. Chronic pyelonephritis can also be associated with interstitial nephritis and hydronephrosis, complicating the clinical picture. Understanding the underlying causes and appropriate management strategies is crucial for preventing long-term renal damage.
Detailed history of urinary symptoms, imaging results, and treatment plans.
Patients with recurrent UTIs and chronic kidney disease due to reflux.
Ensure documentation reflects the chronic nature and any renal impairment.
Surgical notes if corrective procedures are performed, imaging studies, and follow-up care.
Patients requiring surgical intervention for severe reflux.
Document anatomical abnormalities and surgical outcomes.
Used to evaluate kidney structure in patients with chronic pyelonephritis.
Document indications for ultrasound and findings.
Nephrology and Urology may require specific imaging protocols.
The primary cause is vesicoureteral reflux, where urine flows backward from the bladder into the kidneys, leading to recurrent infections and chronic kidney damage.
