N04
Header — not billableNephrotic syndrome
The ICD-10 code for nephrotic syndrome is N04.
N04 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 12 more specific codes below.
Clinical notes
Includes
Terms listed here further define or give examples of the conditions grouped under this code — they describe what the code covers, not a separate diagnosis.
- congenital nephrotic syndrome
- lipoid nephrosis
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under N04
- N04.0Nephrotic syndrome with minor glomerular abnormality
- N04.1Nephrotic syndrome with focal and segmental glomerular lesions
- N04.2Nephrotic syndrome with diffuse membranous glomerulonephritisnon-billable header
- N04.3Nephrotic syndrome with diffuse mesangial proliferative glomerulonephritis
- N04.4Nephrotic syndrome with diffuse endocapillary proliferative glomerulonephritis
- N04.5Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis
- N04.6Nephrotic syndrome with dense deposit disease
- N04.7Nephrotic syndrome with diffuse crescentic glomerulonephritis
- N04.8Nephrotic syndrome with other morphologic changes
- N04.9Nephrotic syndrome with unspecified morphologic changes
- N04.ANephrotic syndrome with C3 glomerulonephritis
- N04.BNephrotic syndrome with immune complex membranoproliferative glomerulonephritis (IC-MPGN)non-billable header
Related codes in this category
- N00Acute nephritic syndromenon-billable header
- N01Rapidly progressive nephritic syndromenon-billable header
- N02Recurrent and persistent hematurianon-billable header
- N03Chronic nephritic syndromenon-billable header
- N05Unspecified nephritic syndromenon-billable header
- N06Isolated proteinuria with specified morphological lesionnon-billable header
- N07Hereditary nephropathy, not elsewhere classifiednon-billable header
- N08Glomerular disorders in diseases classified elsewhere
- N04Nephrotic syndromenon-billable header