Nephritic syndrome, rapidly progressive: Difference between revisions
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| OldDxArticle = | | OldDxArticle =Acute Glomerulonephritis | ||
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| InitialEditorAssigned = Michelle Lagadi | | InitialEditorAssigned = Michelle Lagadi | ||
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{{ICD10 dx | {{ICD10 dx | ||
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| ICD10 Code=N01 | | ICD10 Code=N01 | ||
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{{ICD10 category|Renal/urinary}}{{ICD10 category|Nephritic syndrome}} | |||
== Additional Info == | == Additional Info == | ||
*Rapidly progressive glomerulonephritis (RPGN) is a clinical syndrome manifested by features of glomerular disease in the urinalysis and by progressive loss of renal function over a comparatively short period of time (days to weeks). It is most commonly characterized morphologically by extensive crescent formation | |||
{{ICD10 Guideline Nephritic Syndrome}} | |||
== Alternate ICD10s to consider coding instead == | == Alternate ICD10s to consider coding instead or in addition == | ||
{{ListICD10Category | categoryName = Nephritic syndrome}} | |||
*[[Kidney, tubulo-interstitial nephritis/disease]] | *[[Kidney, tubulo-interstitial nephritis/disease]] | ||
*[[Hemoglobinuria]] | |||
{{ListICD10Category | categoryName = Renal/urinary}} | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | |||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
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Latest revision as of 13:19, 2020 August 5
| ICD10 Diagnosis | |
| Dx: | Nephritic syndrome, rapidly progressive |
| ICD10 code: | N01 |
| Pre-ICD10 counterpart: | Acute Glomerulonephritis |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Metabolic/Renal NOS, 2019-0: Renal/Metabolic NOS |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- Rapidly progressive glomerulonephritis (RPGN) is a clinical syndrome manifested by features of glomerular disease in the urinalysis and by progressive loss of renal function over a comparatively short period of time (days to weeks). It is most commonly characterized morphologically by extensive crescent formation
- In ICD10 there are no codes specific for glomerulonephritis (GN) -- instead the various forms of that entity are included in the various codes for "Nephritic sydrome"
- Nephritic syndrome represents a class/category of renal diseases that are due to non-infectious inflammation of the glomerulus
- Though non-infectious, a classic cause of GN is immune-mediated and elicited by PRIOR infection by a variety of organisms, though Streptococci is the classic (so-called Post-strep GN) if using this code combine with Other specified infectious agents as the cause of diseases classified by other ICD10 code
- Although often primary, i.e. the etiology is auto-immune, there are numerous other conditions that can cause GNs (e.g. post-infectious which is an immune-mediated problem and not due to the organism itself; in association with other immune disorders such as Lupus and vasculitis; immune consequences of drug use such as iv heroin, others). When the etiology is NOT primary, combine the cause with the appropriate Nephritic syndrome code.
- Regarding the various codes for nephritic syndrome (Nephritic syndrome, acute, Nephritic syndrome, rapidly progressive, Nephritic syndrome, chronic, Nephritic syndrome, NOS)
- They include
- glomerulonephritis
- nephritis
- other inflammatory glomerular diseases
- Don't get confused, another way to classify glomerular diseases is by what they look like under the microscope (e.g. minimal change, membranous, crecentic, etc) -- but in ICD10 these are all included within all the codes for nephritic syndrome.
- They include
- The difference between the various Nephritic syndrome codes is clinical onset and persistence:
- code Nephritic syndrome, rapidly progressive if and only if the primary or renal team label it as "rapidly progressive", as in "Rapidly progressive GN"
- if acute in presentation/onset, but they don't label it as "rapidly progressive", then use Nephritic syndrome, acute
- if stated by the teams to be chronic, then use Nephritic syndrome, chronic
- if nothing is said about it's onset or persistence, then use the wastebasket of Nephritic syndrome, NOS
- Important to distinguish the various Nephritic syndrome codes from Nephrotic syndrome
- a classic cause of GN (especially Nephritic syndrome, rapidly progressive is as an immune after-effect of Strep infection, so-called Post-strep GN). To code this we will add a new code B98, to be called Other specified infectious agents as the cause of diseases classified by other ICD10 code -- this new code, with the appropriate Streptoccus code, is then combined with the appropriate Nephritic syndrome code to get Post-strep GN
Alternate ICD10s to consider coding instead or in addition
| Nephritic syndrome codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
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