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N02.A ICD-10-CM Code: Recurrent and persistent hematuria with C3 glomerulonephritis

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FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Glomerular diseases (N00-N08)

N02.A

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Recurrent and persistent hematuria with C3 glomerulonephritis

Repeated episodes of blood in the urine caused by a specific type of kidney inflammation called C3 glomerulonephritis, where complement protein C3 accumulates in the kidney filters.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
N02Recurrent and persistent hematuria
N02.ARecurrent and persistent hematuria with C3 glomerulonephritis

Inclusion Terms

Official
  • Recurrent and persistent hematuria with C3 glomerulopathy

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N02.A in this effective period.

Related Child Codes

Official
N02.0Recurrent and persistent hematuria with minor glomerular abnormality
N02.1Recurrent and persistent hematuria with focal and segmental glomerular lesions
N02.2Recurrent and persistent hematuria with diffuse membranous glomerulonephritis
N02.3Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis
N02.4Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis

Includes

Official

ICD-10-CM does not list Includes notes for N02.A in this effective period.

Excludes 1

Official
  • Recurrent and persistent hematuria (with C3 glomerulopathy) with dense deposit disease (N02.6)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N02.A in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N02.A in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N02.A in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code requires documentation of both recurrent hematuria and C3 glomerulonephritis diagnosis
Ensure biopsy results or clinical findings confirm C3 glomerulonephritis rather than other glomerulonephritis types

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is N02.A an HCC code?

No. N02.A is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
N02.A
Description
Recurrent and persistent hematuria with C3 glomerulonephritis
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

N02.A is the ICD-10-CM diagnosis code for recurrent and persistent hematuria with c3 glomerulonephritis. Repeated episodes of blood in the urine caused by a specific type of kidney inflammation called C3 glomerulonephritis, where complement protein C3 accumulates in the kidney filters. N02.A sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering glomerular diseases (n00-n08).

N02.A 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.

This code requires documentation of both recurrent hematuria and C3 glomerulonephritis diagnosis.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N02.A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code requires documentation of both recurrent hematuria and C3 glomerulonephritis diagnosis
  • Ensure biopsy results or clinical findings confirm C3 glomerulonephritis rather than other glomerulonephritis types

Excludes 1, Do NOT code together

  • Recurrent and persistent hematuria (with C3 glomerulopathy) with dense deposit disease (N02.6)

Child Codes

Code Hierarchy

N02.A code history

Code setChange
FY2021 (effective Oct 1, 2020)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

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