Name of the Condition

• Recurrent and Persistent Hematuria with Other Morphologic Changes
• ICD-10 Code: N02.8

Summary

• Recurrent and Persistent Hematuria with Other Morphologic Changes is a medical condition characterized by the presence of blood in the urine that persists or frequently recurs and is associated with other abnormalities detectable in urine or kidney tissue.

Causes

• Known or suspected causes include kidney diseases like glomerulonephritis, urinary tract infections, inherited disorders (such as Alport syndrome), kidney stones, and certain medications.

Risk Factors

• Factors that may increase the risk include a family history of kidney disease, previous urinary tract issues, hypertension, and exposure to nephrotoxic drugs.

Symptoms

• Symptoms may include visibly red or pink urine, pain during urination, frequent urination, and flank or abdominal pain.

Diagnosis

• Diagnostic methods often involve urinalysis, blood tests, imaging studies such as ultrasound or CT scans, and sometimes a kidney biopsy to examine tissue changes.

Treatment Options

• Treatment typically focuses on addressing the underlying cause and may include antibiotics for infections, lifestyle changes for preventing stones, or medications such as ACE inhibitors for glomerulonephritis.
• Controlling blood pressure and monitoring kidney function are critical components of management.

Prognosis and Follow-Up

• The prognosis varies depending on the underlying cause but can improve with proper medical management.
• Regular follow-up appointments with healthcare providers are important to monitor kidney function and adjust treatment as needed.

Complications

• Potential complications may include progression to chronic kidney disease, development of acute kidney failure, or increased risk of recurrent infections.

Lifestyle & Prevention

• Maintaining a healthy lifestyle with a balanced diet, staying hydrated, avoiding excessive use of NSAIDs or nephrotoxic substances, and controlling blood pressure can help manage or prevent condition worsening.

When to Seek Professional Help

• Immediate medical attention is necessary if there is sudden onset of intense pain, a persistent change in urine color, or symptoms such as fever or swelling that could indicate kidney dysfunction.

Additional Resources

• National Kidney Foundation
• American Urological Association
• Support groups and educational materials available through these organizations can offer additional guidance.

Tips for Medical Coders

• Ensure accuracy by confirming recurrent and persistent hematuria with documented morphologic changes.
• Be cautious of coding errors related to similar conditions, ensuring differentiation based on associated morphologic changes.