ICD-10-CM Code N04.1

Nephrotic syndrome with focal and segmental glomerular lesions

Version 2020 Billable Code

Valid for Submission

N04.1 is a billable code used to specify a medical diagnosis of nephrotic syndrome with focal and segmental glomerular lesions. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code N04.1 might also be used to specify conditions or terms like classical focal segmental glomerulosclerosis or congenital nephrotic syndrome with focal glomerulosclerosis or focal segmental glomerulosclerosis or hyperfiltration focal segmental glomerulosclerosis or nephrotic syndrome, focal and segmental glomerular lesions.

ICD-10:N04.1
Short Description:Nephrotic syndrome w focal and segmental glomerular lesions
Long Description:Nephrotic syndrome with focal and segmental glomerular lesions

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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N04.1:

Inclusion Terms

Inclusion Terms
These 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 focal and segmental hyalinosis
  • Nephrotic syndrome with focal and segmental sclerosis
  • Nephrotic syndrome with focal glomerulonephritis

Index to Diseases and Injuries

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 N04.1 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Classical focal segmental glomerulosclerosis
  • Congenital nephrotic syndrome with focal glomerulosclerosis
  • Focal segmental glomerulosclerosis
  • Hyperfiltration focal segmental glomerulosclerosis
  • Nephrotic syndrome, focal and segmental glomerular lesions

Diagnostic Related Groups

The ICD-10 code N04.1 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

  • 698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
  • 699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
  • 700 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Convert N04.1 to ICD-9

  • 581.1 - Epimembranous nephritis (Approximate Flag)

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Glomerular diseases (N00-N08)
      • Nephrotic syndrome (N04)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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


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