AAPC - Back to school
Results 1 to 2 of 2

Thread: tubulointerstitial disease?

  1. #1
    Join Date
    Apr 2007
    Stuart, Florida

    Question tubulointerstitial disease?

    AAPC: Back to School
    I'm looking for a code for Stage III CKD secondary to tubulointerstitial disease.

    Any assistance would be greatly appreciated. Thanks in advance!
    Vanessa Mier, CPC

  2. #2


    there are Primary and Secondary types, and, acute or chronic Types.

    The primary categories of tubulointerstitial disease are acute tubular necrosis and acute or chronic tubulointerstitial nephritis.
    Primary tubulointerstitial diseases of the kidney are characterized by
    histologic and functional abnormalities that involve the tubules and
    interstitium to a greater degree than the glomeruli and renal vasculature

    Secondary tubulointerstitial disease occurs as a consequence of progressive glomerular or vascular injury. Morphologically, acute forms of these disorders are characterized by interstitial edema, often associated with cortical and medullary infiltration by
    both mononuclear cells and polymorphonuclear leukocytes, and
    patchy areas of tubule cell necrosis.

    So now we have to place/ or assign them correctly with the exact documentation, which correlates to the pathological processes going on

    I feel 584.5 has most of the answer for tubular necrosis.

    Tubulointerstitial diseases are clinically heterogeneous disorders that share similar features of tubular and interstitial injury. In severe and prolonged cases, the entire kidney may become involved, with glomerular dysfunction and even renal failure.

    The kidneys are exposed to unusually high concentrations of toxins

Similar Threads

    By amylis1 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-17-2015, 06:32 AM
  2. what is the difference between heart disease & cardiovascular disease
    By SRENEECAMERON in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-25-2011, 03:36 PM
  3. Keinbocks disease
    By cpccpma in forum Orthopaedics
    Replies: 0
    Last Post: 09-03-2010, 10:01 AM
  4. Diverticular disease
    By donnar in forum General Surgery
    Replies: 0
    Last Post: 06-15-2010, 09:44 AM
  5. Grover's Disease
    By EKMineau in forum Dermatology
    Replies: 3
    Last Post: 02-26-2008, 09:52 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.