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N26 ICD-10-CM Code: Unspecified contracted kidney

N26 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupN26

FY 2026 Apr update / Diseases of the genitourinary system (N00-N99) / Other disorders of kidney and ureter (N25-N29)

N26

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

Unspecified contracted kidney

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

Inclusion Terms

Official

No inclusion terms are included in this display for N26. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • certain conditions originating in the perinatal period (P04-P96)Inherited from N00-N99, N25-N29
  • certain infectious and parasitic diseases (A00-B99)Inherited from N00-N99, N25-N29
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)Inherited from N00-N99, N25-N29
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Inherited from N00-N99, N25-N29
  • endocrine, nutritional and metabolic diseases (E00-E88)Inherited from N00-N99, N25-N29
  • injury, poisoning and certain other consequences of external causes (S00-T88)Inherited from N00-N99, N25-N29
  • neoplasms (C00-D49)Inherited from N00-N99, N25-N29
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)Inherited from N00-N99, N25-N29
  • disorders of kidney and ureter with urolithiasis (N20-N23)Inherited from N00-N99, N25-N29

Includes

Official

No Includes notes are included in this display for N26. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • contracted kidney due to hypertension (I12.-)
  • diffuse sclerosing glomerulonephritis (N05.8.-)
  • hypertensive nephrosclerosis (arteriolar) (arteriosclerotic) (I12.-)
  • small kidney of unknown cause (N27.-)

Code First

Official

No Code First sequencing instructions are included in this display for N26. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for N26. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for N26. Check the code and parent instructions in the Code Book.

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 →

Code
N26
Description
Unspecified contracted kidney
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

N26 is the ICD-10-CM diagnosis code for unspecified contracted kidney. N26 sits in the ICD-10-CM chapter for diseases of the genitourinary system (n00-n99), within the section covering other disorders of kidney and ureter (n25-n29).

Header codes like N26 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for N26 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • contracted kidney due to hypertension (I12.-)
  • diffuse sclerosing glomerulonephritis (N05.8.-)
  • hypertensive nephrosclerosis (arteriolar) (arteriosclerotic) (I12.-)
  • small kidney of unknown cause (N27.-)

Child Codes

Code Hierarchy

N26Unspecified contracted kidney
N26Unspecified contracted kidney

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