2025 ICD-10-CM code M32.14
Glomerular disease in systemic lupus erythematosus. Lupus nephritis involving glomeruli.
Medical necessity for treatment of M32.14 is established by the presence of signs and symptoms of glomerular disease in a patient with a confirmed lupus diagnosis. Treatment is aimed at preserving kidney function and preventing further complications.
Glomerular disease in systemic lupus erythematosus may result in blood in the urine, swelling, general malaise, mouth sores, unexplained fever, fatigue, and a "butterfly" rash across the nose and cheeks. Diagnosis involves patient history, physical exam, imaging (X-rays, ultrasound), blood tests (creatinine, urea nitrogen), urinalysis (protein, red blood cells), and kidney biopsy.
In simple words: This code signifies kidney inflammation (specifically in the glomeruli, which filter waste) due to lupus, a disease where the body's immune system attacks its own tissues.
Inflammation of the glomeruli (clusters of capillaries in the kidneys that filter waste from the blood) occurs as a complication of systemic lupus erythematosus, an inflammatory autoimmune disease of the connective tissues affecting the joints and multiple organs, including the skin, heart, lungs, kidneys, and nervous system.
Example 1: A 35-year-old female with a history of lupus presents with persistent fatigue, swelling in her legs, and blood in her urine. After a thorough examination, including urinalysis and kidney biopsy, she is diagnosed with lupus nephritis affecting the glomeruli (M32.14)., A patient known to have SLE experiences increased creatinine levels during a routine check-up. Ultrasound imaging of the kidneys reveals signs of inflammation in the glomeruli, confirming glomerular disease in the context of lupus (M32.14)., A 28-year-old with SLE is hospitalized for severe edema and hypertension.Kidney function tests and a biopsy demonstrate substantial glomerular inflammation as a result of the lupus. M32.14 is used to code the patient's lupus nephritis impacting the glomeruli.
Documentation should include evidence of lupus diagnosis, symptoms related to kidney involvement (e.g., hematuria, proteinuria, edema, hypertension), abnormal kidney function tests, and imaging and/or biopsy results confirming glomerular disease.
** For accurate coding, ensure that documentation clearly differentiates between lupus nephritis affecting other parts of the kidney (such as tubulo-interstitial nephropathy, coded as M32.15) and M32.14 which specifically signifies glomerular involvement.Consider consulting iFrameAI for the most comprehensive and up-to-date information.
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