Physiology: DM microalbumuria

Type 2 diabetes mellitus with other diabetic kidney complications (ICD-10 code E11.29 ). The associated terms can include microalbumuria or renal impairment.

I am sharing a bit of information on the physiology around this condition. This video in YouTube has a great explanation of the labs that give a general idea about the condition, at minute 3:03. The presenter is Real World NP and the name of the video is "Microalbuminuria Case Study: Lab Interpretation for Nurse Practioners".

https://www.youtube.com/watch?v=dSpx8eLA96U

Documenting for Microalbuminuria: if patient tests positive for moderately increased albuminuria (microalbuminuria) consistently over a period of at least 3 months, the provider should document the duration in the chart note and describe the condition as “persistent”, as appropriate.

Coders do not determine codes based on labs.

Lab values:

Normal	Micro-moderate increase albuminuria	Macro-severely increased albuminuria
<30 mg/day	30-300 mg/day	>300 mg/day
		Mayo Clinic

https://www.mayoclinic.org/tests-procedures/microalbumin/about/pac-20384640

Next level in disease progression is proteinuria.

Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations. The information presented herein is for general informational purposes only and is accurate as of the date of publication.

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