N07.5

N07.5: Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis

Billable / specific codeICD-10-CM

N07.5 is a billable, specific ICD-10-CM code for hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis. It is valid for submission on a claim.

Check N07.5 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Hereditary nephropathy, not elsewhere classified with C3 glomerulonephritis (N07.A)
Hereditary nephropathy, not elsewhere classified with C3 glomerulopathy (N07.A)

Inclusion terms

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

Hereditary nephropathy, not elsewhere classified with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

Excludes2 inherited from the categories above N07.5

Not part of this code, but both may be coded when both are present.

Written on N07: Hereditary nephropathy, not elsewhere classified

Alport's syndrome (Q87.81-)
hereditary amyloid nephropathy (E85.-)
nail patella syndrome (Q87.2)
non-neuropathic heredofamilial amyloidosis (E85.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

N07.5 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
A57189Billing and Coding: Serum Magnesium

Alphabetic index entries that lead here

Nephropathy›hereditary NEC›with›diffuse›mesangiocapillary glomerulonephritis

Code history

Unchanged in every release from FY2024 to FY2027.