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ICD-10 Coding for Immunoglobulin A Nephropathy(N02.B1, N02.B5)

Complete ICD-10-CM coding and documentation guide for Immunoglobulin A Nephropathy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

IgA NephropathyBerger's Disease

Related ICD-10 Code Ranges

Complete code families applicable to Immunoglobulin A Nephropathy

N02.B1-N02.B6Primary Range

Specific IgAN subtypes with histologic detail

These codes represent the primary classification for IgA nephropathy with specific histologic findings.

Chronic Kidney Disease (CKD) stages

These codes are used to specify the stage of CKD when present with IgA nephropathy.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
N02.B1IgA nephropathy with minimal change lesionUse when biopsy confirms minimal change lesion with IgA deposits.
  • Biopsy showing minimal change lesion with IgA deposits
N02.B5Diffuse mesangial proliferative glomerulonephritis with IgA dominanceUse when biopsy confirms diffuse mesangial proliferative pattern with IgA dominance.
  • Biopsy showing diffuse mesangial proliferation with IgA dominance

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for IgA nephropathy

Essential facts and insights about Immunoglobulin A Nephropathy

The ICD-10 codes for IgA nephropathy are N02.B1 to N02.B6, specifying different histologic subtypes.

Primary ICD-10-CM Codes for immunoglobulin a nephropathy

IgA nephropathy with minimal change lesion
Billable Code

Decision Criteria

clinical Criteria

  • Biopsy confirms minimal change lesion with IgA deposits.

Applicable To

  • Minimal change disease with IgA deposits

Excludes

  • Secondary IgA nephropathy due to systemic disease

Clinical Validation Requirements

  • Biopsy showing minimal change lesion with IgA deposits

Code-Specific Risks

  • Ensure biopsy confirmation to avoid misclassification.

Coding Notes

  • Ensure documentation includes biopsy results confirming IgA deposits.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

CKD stage 3

N18.3
Use to specify CKD stage when present with IgA nephropathy.

Proteinuria

R80.1
Use if proteinuria is not captured in primary code.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Old morphologic changes code

N02.8
N02.8 is outdated and should not be used for IgA nephropathy.

Other nephritic syndrome with IgAN

N05.8
Use N05.8 only if specific IgAN codes are unavailable.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Immunoglobulin A Nephropathy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code N02.B1.

Impact

Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Verify biopsy results before coding, Educate staff on documentation requirements

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with updated coding standards., Data Quality: Inaccurate data reporting and analysis.

Mitigation Strategy

Use new codes N02.B1-N02.B6 as of 2024.

Impact

Using codes like N02.8 instead of updated N02.Bx codes.

Mitigation Strategy

Regularly update coding references and train staff.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Immunoglobulin A Nephropathy, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Immunoglobulin A Nephropathy

Use these documentation templates to ensure complete and accurate documentation for Immunoglobulin A Nephropathy. These templates include all required elements for proper coding and billing.

Biopsy-confirmed IgA nephropathy with CKD

Specialty: Nephrology

Required Elements

  • Biopsy results
  • CKD stage
  • Proteinuria levels

Example Documentation

Patient diagnosed with IgA nephropathy, N02.B5, based on biopsy showing diffuse mesangial proliferation with IgA dominance. CKD stage 3a, N18.31.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has kidney disease.
Good Documentation Example
Patient diagnosed with IgA nephropathy, N02.B5, confirmed by biopsy showing diffuse mesangial proliferation with IgA dominance.
Explanation
The good example provides specific diagnostic details and coding information.

Need help with ICD-10 coding for Immunoglobulin A Nephropathy? Ask your questions below.

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