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OTHER DISORDERS
OF KIDNEY AND
URETER
INTRODUCTION
 Some conditions like impaired renal tubular
function,contracted kidney,size variation of
kidney all are comes under this category(N25-
N29)
 Renal osteodystrophy is a bone disease that
occurs when your kidneys fail to maintain
proper levels of calcium and phosphorus in the
blood. It's common in people with kidney
disease and affects most dialysis patients.
 Azotemic osteodystrophy pertains to that
situation in which glomerular failure precedes
or exceeds tubular dysfunction and tubular
osteodystrophy to that type of bone disease is
noted when a distinct tubular abnormalities
precedes any significant impairement of
glomerular filteration
 Renal rickets is the term used for rickets
where the primary cause is not vitamin D
deficiency but a renal disease leading to
events that cause rickets or osteomalacia.
RENAL SHORT STATURE
 Growth failure is frequent and a clinically
important issue in children with chronic kidney
disease (CKD). Many factors contribute to
impaired growth in these children, including
abnormalities in the growth hormone (GH)--
insulin-like growth factor 1 (IGF-1) axis,
malnutrition, acidosis, renal bone disease and
glucocorticoid associated treatment.
NEPHROGENIC DIABETES
INSIPIDUS
 Nephrogenic diabetes insipidus is a form
of diabetes insipidus primarily due to
pathology of the kidney.
 This is in contrast to central/neurogenic
diabetes insipidus, which is caused by
insufficient levels of antidiuretic hormone.
 Nephrogenic diabetes insipidus is caused by
an improper response of the kidney to ADH,
leading to a decrease in the ability of the
kidney to concentrate the urine by removing
free water.
 Hypokalemia nephropathy (hypokalemic
nephropathy) is a chronic persistent
hypokalemia induced interstitial nephritis, or
kidney disease, kidney disease, also known as
loss of potassium.
 Its severity depends on the extent and
duration of potassium deficiency, clinical
manifestations are mainly concentrated urine
dysfunction, but clinical rare.
 Atrophy of kidney is a term used when the
kidney size becomes small due to any disease
or non functioning of kidney.
 Page kidney refers to the phenomenon
of hypertension that develops following long-
standing compression of renal parenchyma by
subcapsular renal collection,
e.g. haematoma, seroma, urinoma.
Hypertrophy of kidney is defined as increased in
size of the kidney
congenital dilatation of the URETER; it may be ei
ther a primary condition or secondary to som
ething else. Called also megaloureter.
ICD-10-CM GUIDELINES
 Disorders resulting from impaired renal tubular
function-N25
 Unspecified contracted kidney-N26
 Small kidney of unknown cause-N27
 Other disorders of kidney and ureter:not
elsewhere classified-N28
 Other disorders of kidney and ureter in
diseases classified elsewhere-N29
Code first underlying diseases
 https://www.medesunglobal.com
THANK YOU

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Other disorders of kidney and ureter

  • 2. INTRODUCTION  Some conditions like impaired renal tubular function,contracted kidney,size variation of kidney all are comes under this category(N25- N29)  Renal osteodystrophy is a bone disease that occurs when your kidneys fail to maintain proper levels of calcium and phosphorus in the blood. It's common in people with kidney disease and affects most dialysis patients.
  • 3.  Azotemic osteodystrophy pertains to that situation in which glomerular failure precedes or exceeds tubular dysfunction and tubular osteodystrophy to that type of bone disease is noted when a distinct tubular abnormalities precedes any significant impairement of glomerular filteration
  • 4.  Renal rickets is the term used for rickets where the primary cause is not vitamin D deficiency but a renal disease leading to events that cause rickets or osteomalacia.
  • 5. RENAL SHORT STATURE  Growth failure is frequent and a clinically important issue in children with chronic kidney disease (CKD). Many factors contribute to impaired growth in these children, including abnormalities in the growth hormone (GH)-- insulin-like growth factor 1 (IGF-1) axis, malnutrition, acidosis, renal bone disease and glucocorticoid associated treatment.
  • 6. NEPHROGENIC DIABETES INSIPIDUS  Nephrogenic diabetes insipidus is a form of diabetes insipidus primarily due to pathology of the kidney.  This is in contrast to central/neurogenic diabetes insipidus, which is caused by insufficient levels of antidiuretic hormone.  Nephrogenic diabetes insipidus is caused by an improper response of the kidney to ADH, leading to a decrease in the ability of the kidney to concentrate the urine by removing free water.
  • 7.  Hypokalemia nephropathy (hypokalemic nephropathy) is a chronic persistent hypokalemia induced interstitial nephritis, or kidney disease, kidney disease, also known as loss of potassium.  Its severity depends on the extent and duration of potassium deficiency, clinical manifestations are mainly concentrated urine dysfunction, but clinical rare.
  • 8.  Atrophy of kidney is a term used when the kidney size becomes small due to any disease or non functioning of kidney.  Page kidney refers to the phenomenon of hypertension that develops following long- standing compression of renal parenchyma by subcapsular renal collection, e.g. haematoma, seroma, urinoma.
  • 9. Hypertrophy of kidney is defined as increased in size of the kidney congenital dilatation of the URETER; it may be ei ther a primary condition or secondary to som ething else. Called also megaloureter.
  • 10. ICD-10-CM GUIDELINES  Disorders resulting from impaired renal tubular function-N25  Unspecified contracted kidney-N26  Small kidney of unknown cause-N27  Other disorders of kidney and ureter:not elsewhere classified-N28
  • 11.  Other disorders of kidney and ureter in diseases classified elsewhere-N29 Code first underlying diseases  https://www.medesunglobal.com