2022 ICD-10-CM Code N04.0
Nephrotic syndrome with minor glomerular abnormality
Code Classification
N04.0 is a billable diagnosis code used to specify a medical diagnosis of nephrotic syndrome with minor glomerular abnormality. The code N04.0 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code N04.0 might also be used to specify conditions or terms like nephrotic syndrome with minimal change glomerulonephritis or nephrotic syndrome, minor glomerular abnormality.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N04.0:
Inclusion Terms
Inclusion TermsThese terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Nephrotic syndrome with minimal change lesion
Entries in the Index to Diseases and Injuries with references to N04.0
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code N04.0 are found in the index:
- - Syndrome - See Also: Disease;
- - nephrotic (congenital) - See Also: Nephrosis; - N04.9
- - with
- - minor glomerular abnormality - N04.0
- - with
- - nephrotic (congenital) - See Also: Nephrosis; - N04.9
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Nephrotic syndrome with minimal change glomerulonephritis
- Nephrotic syndrome, minor glomerular abnormality
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code N04.0 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 11 | 1.6067 |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 11 | 1.0252 |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | 11 | 0.7448 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert N04.0 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code N04.0 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 581.3 - Minimal change nephrosis (Approximate Flag)
Information for Patients
Kidney Diseases
You have two kidneys, each about the size of your fist. They are near the middle of your back, just below the rib cage. Inside each kidney there are about a million tiny structures called nephrons. They filter your blood. They remove wastes and extra water, which become urine. The urine flows through tubes called ureters. It goes to your bladder, which stores the urine until you go to the bathroom.
Most kidney diseases attack the nephrons. This damage may leave kidneys unable to remove wastes. Causes can include genetic problems, injuries, or medicines. You have a higher risk of kidney disease if you have diabetes, high blood pressure, or a close family member with kidney disease. Chronic kidney disease damages the nephrons slowly over several years. Other kidney problems include
- Cancer
- Cysts
- Stones
- Infections
Your doctor can do blood and urine tests to check if you have kidney disease. If your kidneys fail, you will need dialysis or a kidney transplant.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| N04 | Nephrotic syndrome | NON-BILLABLE CODE |
| N04.1 | Nephrotic syndrome with focal and segmental glomerular lesions | BILLABLE CODE |
| N04.2 | Nephrotic syndrome with diffuse membranous glomerulonephritis | BILLABLE CODE |
| N04.3 | Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis | BILLABLE CODE |
| N04.4 | Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis | BILLABLE CODE |
| N04.5 | Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis | BILLABLE CODE |
| N04.6 | Nephrotic syndrome with dense deposit disease | BILLABLE CODE |
| N04.7 | Nephrotic syndrome with diffuse crescentic glomerulonephritis | BILLABLE CODE |
| N04.8 | Nephrotic syndrome with other morphologic changes | BILLABLE CODE |
| N04.9 | Nephrotic syndrome with unspecified morphologic changes | BILLABLE CODE |
| N04.A | Nephrotic syndrome with C3 glomerulonephritis | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)