N04.B1
N04.B1: Nephrotic syndrome with idiopathic immune complex membranoproliferative glomerulonephritis (IC-MPGN)
Billable / specific codeICD-10-CM
N04.B1 is a billable, specific ICD-10-CM code for nephrotic syndrome with idiopathic immune complex membranoproliferative glomerulonephritis (ic-mpgn). It is valid for submission on a claim.
Check N04.B1 with the rest of the claim: free scrubberOther codes that can never be billed with N04.B1
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.B1 is named in 2 Medicare coverage policies: 2 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
- A59186Billing and Coding: Magnesium
Alphabetic index entries that lead here
- Nephritis, nephritic›with›glomerular lesion›idiopathic immune membranoproliferative glomerulonephritis(IC-MPGN)
Code history
- addedFY2024-FY2027
Nephrotic syndrome with idiopathic immune complex membranoproliferative glomerulonephritis (IC-MPGN)