N04.A
N04.A: Nephrotic syndrome with C3 glomerulonephritis
Billable / specific codeICD-10-CM
N04.A is a billable, specific ICD-10-CM code for nephrotic syndrome with c3 glomerulonephritis. It is valid for submission on a claim.
Check N04.A with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Nephrotic syndrome (with C3 glomerulopathy) with dense deposit disease (N04.6)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nephrotic syndrome with C3 glomerulopathy
Other codes that can never be billed with N04.A
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.A is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56380Billing and Coding: Rituximab
Alphabetic index entries that lead here
- Syndrome›nephrotic›with›C3›glomerulonephritis
- Syndrome›nephrotic›with›C3›glomerulopathy
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
- N04.9Nephrotic syndrome with unspecified morphologic changes
- N04.BNephrotic syndrome with immune complex membranoproliferative glomerulonephritis (IC-MPGN)