N00.1
BillableAcute nephritic syndrome with focal and segmental glomerular lesions
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is N00.1 an HCC code?
No. N00.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
N00.1 is the ICD-10-CM diagnosis code for acute nephritic syndrome with focal and segmental glomerular lesions. Sudden kidney inflammation with blood in urine caused by damage to specific areas of the kidney's filtering units. N00.1 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering glomerular diseases (n00-n08).
N00.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Ensure kidney biopsy findings or clinical documentation supports focal and segmental pattern.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N00.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure kidney biopsy findings or clinical documentation supports focal and segmental pattern
- •Link to underlying cause when documented (lupus, ANCA-associated vasculitis, etc.)