N04.0

N04.0: Nephrotic syndrome with minor glomerular abnormality

Billable / specific codeICD-10-CM

N04.0 is a billable, specific ICD-10-CM code for nephrotic syndrome with minor glomerular abnormality. It is valid for submission on a claim.

Check N04.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Nephrotic syndrome with minimal change lesion

Other codes that can never be billed with N04.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

Q63Other congenital malformations of kidney

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N04.0 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55336Billing and Coding: Retroperitoneal Ultrasound
A55639Billing and Coding: Chemotherapy Agents for Non-Oncologic Conditions
A56380Billing and Coding: Rituximab
A57189Billing and Coding: Serum Magnesium

Alphabetic index entries that lead here

Nephrosis, nephrotic›minimal change
Syndrome›nephrotic›with›minor glomerular abnormality

Code history

Unchanged in every release from FY2024 to FY2027.