N04.9
N04.9: Nephrotic syndrome with unspecified morphologic changes
Billable / specific codeICD-10-CM
N04.9 is a billable, specific ICD-10-CM code for nephrotic syndrome with unspecified morphologic changes. It is valid for submission on a claim.
Check N04.9 with the rest of the claim: free scrubberOther codes that can never be billed with N04.9
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
N04.9 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A58921Billing and Coding: Mass Spectrometry (MS) Testing in Monoclonal Gammopathy (MG)
Alphabetic index entries that lead here
- Nephrosis, nephrotic(Epstein's) (syndrome) (congenital)
- Anasarca›renal
- Disease, diseased›foot process
- Lipoid›nephrosis
- Nephrosis, nephrotic›acute
- Nephrosis, nephrotic›lipoid
- Nephrosis, nephrotic›radiation
- Syndrome›nephrotic(congenital)
- Nephritis, nephritic›with›foot process disease
- Nephrosis, nephrotic›tubular›radiation
- Nephrosis, nephrotic›with›foot process disease
- Syndrome›idiopathic›nephrotic(infantile)
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
- N04.6Nephrotic syndrome with dense deposit disease
- N04.7Nephrotic syndrome with diffuse crescentic glomerulonephritis
- N04.8Nephrotic syndrome with other morphologic changes
- N04.ANephrotic syndrome with C3 glomerulonephritis
- N04.BNephrotic syndrome with immune complex membranoproliferative glomerulonephritis (IC-MPGN)