MCMedicalCodingSoftware
N25.81

N25.81: Secondary hyperparathyroidism of renal origin

Billable / specific codeICD-10-CM

N25.81 is a billable, specific ICD-10-CM code for secondary hyperparathyroidism of renal origin. It is valid for submission on a claim.

Check N25.81 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.

  • secondary hyperparathyroidism, non-renal (E21.1)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • metabolic disorders classifiable to E70-E88

Other codes that can never be billed with N25.81

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • E21.1Secondary hyperparathyroidism, not elsewhere classified

Risk adjustment

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

Medicare coverage

N25.81 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A55354Billing and Coding: Frequency of Hemodialysis
  • A55672Billing and Coding: Frequency of Hemodialysis
  • A55675Billing and Coding: Frequency of Hemodialysis
  • A55703Billing and Coding: Frequency of Hemodialysis

Alphabetic index entries that lead here

  • Hyperparathyroidism›secondary(renal)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under N25.8

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.