N04.6
N04.6: Nephrotic syndrome with dense deposit disease
Billable / specific codeICD-10-CM
N04.6 is a billable, specific ICD-10-CM code for nephrotic syndrome with dense deposit disease. It is valid for submission on a claim.
Check N04.6 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nephrotic syndrome with C3 glomerulopathy with dense deposit disease
- Nephrotic syndrome with membranoproliferative glomerulonephritis, type 2
Other codes that can never be billed with N04.6
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
N04.6 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54548Billing and Coding: Eculizumab, and Biosimilars: EPYSQLI®-eculizumab-aagh, and BKEMV™-eculizumab-aeeb
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56380Billing and Coding: Rituximab
- A57189Billing and Coding: Serum Magnesium
Alphabetic index entries that lead here
- Syndrome›nephrotic›with›dense deposit disease
- Syndrome›nephrotic›with›C3›glomerulopathy›with dense deposit disease
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under N04
- N04.0Nephrotic syndrome with minor glomerular abnormality
- N04.1Nephrotic syndrome with focal and segmental glomerular lesions
- N04.2Nephrotic syndrome with diffuse membranous glomerulonephritis
- N04.3Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis
- N04.4Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis
- N04.5Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis
- N04.7Nephrotic syndrome with diffuse crescentic glomerulonephritis
- N04.8Nephrotic syndrome with other morphologic changes
- N04.9Nephrotic syndrome with unspecified morphologic changes
- N04.ANephrotic syndrome with C3 glomerulonephritis
- N04.BNephrotic syndrome with immune complex membranoproliferative glomerulonephritis (IC-MPGN)