ICD-10-CM Billable Code

N05.1

Unspecified nephritic syndrome with focal and segmental glomerular lesions

Clinical Classification Guidelines

Inclusion Terms

  • Unspecified nephritic syndrome with focal and segmental hyalinosis
  • Unspecified nephritic syndrome with focal and segmental sclerosis
  • Unspecified nephritic syndrome with focal glomerulonephritis

Medical Intelligence & Overview

Unspecified nephritic syndrome with focal and segmental glomerular lesions, classified under ICD-10 code N05.1, is a kidney disorder characterized by inflammation that affects the small filtering units of the kidneys called glomeruli. This condition involves specific damage to segments of these tiny filters, leading to impaired kidney function. While the precise cause may vary, understanding its features can help in recognizing the condition and seeking appropriate medical evaluation.

Causes & Symptoms

Clinical Causes: Autoimmune diseases, such as lupus erythematosus Infections that can affect the kidneys Vascular disorders impacting kidney blood vessels Certain medications or toxins Genetic factors that predispose to kidney damage Other systemic conditions leading to glomerular injury

Key Symptoms: Blood in the urine (hematuria) Foamy or bubbly urine due to protein leakage Swelling (edema), especially in the legs, ankles, or around the eyes High blood pressure (hypertension) Fatigue and feeling generally unwell Reduced urine output in severe cases

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of clinical assessment and laboratory tests, including blood and urine analysis. Urinalysis may reveal blood and protein presence, indicating glomerular damage. Blood tests can assess kidney function by measuring levels of creatinine and blood urea nitrogen (BUN). In some cases, a kidney biopsy is performed to examine a small tissue sample under a microscope, which helps confirm the specific type and extent of glomerular lesions present.

Treatment Protocols: Treatment strategies aim to manage symptoms, control blood pressure, and reduce inflammation in the kidneys. Options can include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is N05.1 a billable ICD-10 code?
Yes, N05.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report N05.1?
Clinical documentation must specify the nature of Unspecified nephritic syndrome with focal and segmental glomerular lesions and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

syndrome nephritic glomerular lesions segmental focal