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N05.7

Billable

Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is N05.7 an HCC code?

No. N05.7 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

N05.7 is the ICD-10-CM diagnosis code for unspecified nephritic syndrome with diffuse crescentic glomerulonephritis. A kidney disease with inflammation and protein in the urine featuring crescent-shaped lesions in the kidney's filtering units, which indicates severe glomerular damage. N05.7 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering glomerular diseases (n00-n08).

N05.7 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.

Crescentic glomerulonephritis is a serious form that may progress rapidly; document the extent and severity from pathology.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for N05.7 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Crescentic glomerulonephritis is a serious form that may progress rapidly; document the extent and severity from pathology
  • Verify whether this is primary or secondary crescentic disease, as treatment and prognosis differ significantly

Code Hierarchy

N05Unspecified nephritic syndromeN05.7Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis
N05.7Unspecified nephritic syndrome with diffuse crescentic glomerulonephritis

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