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Home/Diagnosis/ICD-10 Coding for Nephrotic Syndrome

ICD-10 Coding for Nephrotic Syndrome

N04.2
N04.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for nephrotic syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Nephrosis
Nephrotic Range Proteinuria
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Key Information: ICD-10 Coding for Nephrotic Syndrome

Essential facts and insights about ICD-10 Coding for Nephrotic Syndrome

Use ICD-10 code N04.2 for nephrotic syndrome with diffuse membranous glomerulonephritis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Nephrotic syndrome with diffuse membranous glomerulonephritis

Non-Billable
N04.2
Non-Billable

Diagnostic Criteria

clinical:
  • • Biopsy confirms diffuse membranous glomerulonephritis
documentation:
  • • Document nephrotic-range proteinuria and biopsy results

Applicable To

  • • Primary membranous nephropathy

Important Notes

  • • Ensure biopsy results are clearly documented to support the use of this code

Nephrotic syndrome with primary membranous nephropathy

Billable Code
N04.21
Billable

Diagnostic Criteria

clinical:
  • • Biopsy confirmation of primary membranous nephropathy
documentation:
  • • Document nephrotic-range proteinuria and biopsy results

Applicable To

  • • Primary membranous nephropathy

Important Notes

  • • Ensure documentation specifies primary membranous nephropathy
Ancillary Codes

Additional codes that may be used with this diagnosis

E78.5

Hyperlipidemia

Use when hyperlipidemia is present in nephrotic syndrome cases

R60.9

Edema, unspecified

Use when edema is present in nephrotic syndrome cases

Frequently Asked Questions

What is the ICD-10 code for nephrotic syndrome?

The ICD-10 code for nephrotic syndrome with diffuse membranous glomerulonephritis is N04.2. It requires biopsy confirmation and documentation of nephrotic-range proteinuria.

How to document nephrotic syndrome for coding?

Document biopsy results, proteinuria levels, and specify primary or secondary etiology to ensure accurate coding of nephrotic syndrome.

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