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N05 ICD-10-CM Code: Unspecified nephritic syndrome

ICD-10-CM Code View

HCC Buddy Code Card

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

N05

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Unspecified nephritic syndrome

Unspecified nephritic syndrome

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
N0Glomerular diseases (N00-N08)
N05Unspecified nephritic syndrome

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for N05 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for N05 in this effective period.

Related Child Codes

Official
N05.0Unspecified nephritic syndrome with minor glomerular abnormality
N05.1Unspecified nephritic syndrome with focal and segmental glomerular lesions
N05.2Unspecified nephritic syndrome with diffuse membranous glomerulonephritis
N05.3Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritis
N05.4Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis

Includes

Official
  • glomerular disease NOS
  • glomerulonephritis NOS
  • nephritis NOS
  • nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8

Excludes 1

Official
  • nephropathy NOS with no stated morphological lesion (N28.9)
  • renal disease NOS with no stated morphological lesion (N28.9)
  • tubulo-interstitial nephritis NOS (N12)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for N05 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for N05 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for N05 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

N05 is the ICD-10-CM diagnosis code for unspecified nephritic syndrome. N05 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering glomerular diseases (n00-n08).

Header codes like N05 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at N05's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N05 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • glomerular disease NOS
  • glomerulonephritis NOS
  • nephritis NOS
  • nephropathy NOS and renal disease NOS with morphological lesion specified in .0-.8

Excludes 1, Do NOT code together

  • nephropathy NOS with no stated morphological lesion (N28.9)
  • renal disease NOS with no stated morphological lesion (N28.9)
  • tubulo-interstitial nephritis NOS (N12)

Child Codes

Code Hierarchy

N05Unspecified nephritic syndrome
N05Unspecified nephritic syndrome

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