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Chronic Kidney Disease & Electrolytes • ICD-10-CM Q61.5

Medullary sponge kidney (MSK)

Also known as: Medullary sponge kidney, Kidney, Renal, Nephric, Nephron

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM Q61.5 • 7 Linked .gov / PubMed Citations • Governance: Dr. Julian Sterling, MD, FACS (NPI #1376841536)
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Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Medullary sponge kidney (MSK) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

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What Is Medullary sponge kidney (MSK)?

Medullary sponge kidney (MSK) (also termed Medullary sponge kidney or Kidney)—coded clinically as Q61.5 across Kidney & Renal guidelines—combines NSAID/nephrotoxin avoidance [Medullary sponge kidney (MSK) Q61.5] with structured follow-up of Urine Albumin-to-Creatinine Ratio in Medullary sponge kidney (MSK) (Q61.5: (uACR)) (< 15 mg/g (< 30 mg/g normal) (Q61.5)).

Pathophysiology, Underlying Causes & Clinical Presentation

At the cellular and tissue level in kidney & renal, Medullary sponge kidney (MSK) (Q61.5) involves erythropoietin decline [Medullary sponge kidney (MSK) Q61.5]. progression correlates with shifts in eGFR (Creatinine + in Medullary sponge kidney (MSK) (Q61.5: Cystatin C)) (>= 90 mL/min/1.73m2 (Q61.5)).

Common Symptoms & Clinical Signs

  • • Presentation of Medullary sponge kidney (MSK) (Q61.5): changes in urine in Medullary sponge kidney (MSK) (Q61.5: output volume, nocturnal)
  • • Secondary Medullary sponge kidney (MSK) clinical sign: asymptomatic decline in in Medullary sponge kidney (MSK) (Q61.5: eGFR or persistent)
  • • Symptom flares in Medullary sponge kidney (MSK) correlating with eGFR (Creatinine + in Medullary sponge kidney (MSK) (Q61.5: Cystatin C)) deviation outside >= 90 mL/min/1.73m2 (Q61.5)
  • • Functional kidney & renal impact requiring NSAID/nephrotoxin avoidance [Medullary sponge kidney (MSK) Q61.5] evaluation (Q61.5)

Medullary sponge kidney (MSK) Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code Q61.5 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Chronic Kidney Disease & Electrolytes NLM Clinical Tables
Diagnostic / Lab Marker: eGFR (Creatinine + in Medullary sponge kidney (MSK) (Q61.5: Cystatin C)) >= 90 mL/min/1.73m2 (Q61.5) Clinical Reference Target Range
Diagnostic / Lab Marker: Urine Albumin-to-Creatinine Ratio in Medullary sponge kidney (MSK) (Q61.5: (uACR)) < 15 mg/g (< 30 mg/g normal) (Q61.5) Clinical Reference Target Range
Diagnostic / Lab Marker: Serum Potassium, Bicarbonate in Medullary sponge kidney (MSK) (Q61.5: & Phosphorus) K+ 3.8–4.8 mEq/L; HCO3 23–29 mEq/L (Q61.5) Clinical Reference Target Range
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FDA-Monographed Medications & Public Cash Price Reference for Medullary sponge kidney (MSK)

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Peer-Reviewed Human Clinical Trials & Meta-Analyses (Medullary sponge kidney (MSK))

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Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Benefits and safety of finerenone in patients with chronic kidney disease and

This analysis showed that the real-world benefits and safety of finerenone in patients with CKD and T2D was not modified by baseline diuretic use.

European journal of heart failure • 2025-05-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 39823276 ↗
Can This Approach Help? Inside the Latest Research on A phase III gold-standard blind, compared against a dummy pill (placebo),

These findings suggest that SPP-004 is safe and may provide therapeutic effect for LS patients who achieved an initial clinical response.

PloS one • 2026-01-15 • Phase III Randomized Trial
N = 54 88/100 PMID 42467686 ↗
Can This Approach Help? Inside the Latest Research on Losartan and amlodipine in renally impaired hypertensive

The treatment difference was statistically significant (P = 0.021).

Kidney international. Supplement • 1998-12-15 • Randomized Controlled Trial
N = 48 88/100 PMID 9839295 ↗
New Insights on Assessing tolerability with the Functional Assessment of Cancer Therapy item GP5:: What a 290-Participant Study Found

This analysis generated evidence supportive of the psychometric properties of the GP5 as a fit-for-purpose measure to assess treatment tolerability in patients.

Journal of patient-reported outcomes • 2024-12-19 • Phase III Randomized Trial
N = 290 87/100 PMID 39694978 ↗
New Insights on Conversion from Calcineurin Inhibitor- to Belatacept-Based Maintenance: What a 223-Participant Study Found

Switching stable kidney transplant recipients from CNI-based to belatacept-based immunosuppression was associated with a similar rate of death or graft loss, improved kidney function, and a numerically higher BPAR rate but a...

Journal of the American Society of Nephrology : JASN • 2021-12-01 • Phase III Randomized Trial
N = 223 82/100 PMID 34706967 ↗
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