N04.4
ICD-10-CMNephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis
This code signifies a specific type of nephrotic syndrome characterized by diffuse endocapillary proliferative glomerulonephritis. This is a severe kidney disorder where the glomeruli, the tiny filtering units of the kidneys, are inflamed and damaged, leading to significant protein loss in the urine, edema, hypoalbuminemia, and hyperlipidemia. The "diffuse endocapillary proliferative" aspect refers to the widespread inflammation and increased cellularity within the glomerular capillaries.
Use this code when documentation explicitly states nephrotic syndrome in conjunction with a biopsy-confirmed diagnosis of diffuse endocapillary proliferative glomerulonephritis. This typically occurs in cases of acute post-streptococcal glomerulonephritis or other immune-mediated glomerular diseases presenting with nephrotic range proteinuria. Supporting documentation should include pathology reports detailing the specific glomerular changes.
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