MCMCB Pro
N04.1

N04.1Nephrotic syndrome with focal and segmental glomerular lesions

Billable / specific codeICD-10-CM

N04.1 is a billable, specific ICD-10-CM code for nephrotic syndrome with focal and segmental glomerular lesions. It is valid for submission on a claim.

Inclusion terms

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

  • Nephrotic syndrome with focal and segmental hyalinosis
  • Nephrotic syndrome with focal and segmental sclerosis
  • Nephrotic syndrome with focal glomerulonephritis

Risk adjustment

N04.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

N04.1 is named in 4 Medicare coverage policies 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A55336Billing and Coding: Retroperitoneal Ultrasound
  • A56380Billing and Coding: Rituximab
  • A57189Billing and Coding: Serum Magnesium
  • A58921Billing and Coding: Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG)

How N04.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to N04.1.

  • Nephrosis, nephroticwithglomerular lesion
  • Syndromenephroticwithfocal and segmental glomerular lesions

Related codes at this level

Codes that share N04. If N04.1 is not quite right, the correct code is usually one of these.

Questions about N04.1

Is N04.1 a billable ICD-10-CM code?
Yes. N04.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does N04.1 sit in the tabular list?
Diseases of the genitourinary system (N00-N99), in the block Glomerular diseases (N00-N08).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.