ICD-10-CM 2027 diagnosis code
N04.7Nephrotic syndrome with diffuse crescentic glomerulonephritis
N04.7 is a valid, billable ICD-10-CM code for nephrotic syndrome with diffuse crescentic glomerulonephritis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Nephrotic syndrome w diffuse crescentic glomerulonephritis
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About N04.7
N04.7 is the ICD-10-CM diagnosis code for nephrotic syndrome with diffuse crescentic glomerulonephritis. It belongs to category N04 (nephrotic syndrome), block N00-N08 (glomerular diseases) and chapter 14 (diseases of the genitourinary system). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within N04 (nephrotic syndrome), N04.7 is specifically for nephrotic syndrome with diffuse crescentic glomerulonephritis. Related codes cover with minor glomerular abnormality (N04.0), with focal and segmental glomerular lesions (N04.1), with diffuse membranous glomerulonephritis (N04.2), with diffuse mesangial proliferative glomerulonephritis (N04.3), with diffuse endocapillary proliferative glomerulonephritis (N04.4), with diffuse mesangiocapillary glomerulonephritis (N04.5), with dense deposit disease (N04.6), with other morphologic changes (N04.8) and 3 more.
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC, relative weight 1.6398), DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC, relative weight 1.0003) and DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC, relative weight 0.6741), in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 581.89 (nephrotic syndrome with other specified pathological lesion in kidney).
Coding notes
- Nephrotic syndrome with extracapillary glomerulonephritis
Notes that apply from higher levels
Instructions written at a parent level also apply to N04.7.
› From N04 Nephrotic syndrome
- congenital nephrotic syndrome
- lipoid nephrosis
Broader instructions also apply from N00-N08 Glomerular diseases and Chapter 14: Diseases of the genitourinary system.
Alphabetic index entries
1 entriesTerms in the official ICD-10-CM index that lead to N04.7.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract
ICD-9-CM equivalent
Converter →- 581.89Nephrotic syndrome with other specified pathological lesion in kidneyapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about N04.7
Is N04.7 billable?
- Yes. N04.7 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can N04.7 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict N04.7 as a principal diagnosis.
Is N04.7 a CC or MCC?
- N04.7 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does N04.7 group to?
- N04.7 is used in the MS-DRG v44.0 logic for MS-DRG 698 (Other Kidney and Urinary Tract Diagnoses with MCC), MS-DRG 699 (Other Kidney and Urinary Tract Diagnoses with CC) and MS-DRG 700 (Other Kidney and Urinary Tract Diagnoses without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for N04.7?
- The CMS General Equivalence Mappings map N04.7 to ICD-9-CM 581.89.