{"code":"N04.2","type":"code","title":"Nephrotic syndrome with diffuse membranous glomerulonephritis","codeAlso":["any associated kidney failure (N17-N19)."],"includes":["congenital nephrotic syndrome","lipoid nephrosis"],"modern_v":"official26","codeFirst":[],"excludes1":["hypertensive chronic kidney disease (I12.-)"],"excludes2":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["N04.20","N04.21","N04.22","N04.29"],"inclusionTerms":[],"sibling_titles":{"code":"N04.29","title":"Other nephrotic syndrome with diffuse membranous glomerulonephritis","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Nephrotic syndrome with diffuse membranous glomerulonephritis is a non-billable ICD-10-CM category code (N04.2). A more specific billable subcode must be selected for claims submission. Includes: congenital nephrotic syndrome; lipoid nephrosis. Excludes1 (not coded here): hypertensive chronic kidney disease (I12.-). Code also: any associated kidney failure (N17-N19)..","officialDefinition":"Nephrotic syndrome with diffuse membranous glomerulonephritis is a non-billable ICD-10-CM category code (N04.2). A more specific billable subcode must be selected for claims submission. Includes: congenital nephrotic syndrome; lipoid nephrosis. Excludes1 (not coded here): hypertensive chronic kidney disease (I12.-). Code also: any associated kidney failure (N17-N19)..","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"hypertensive chronic kidney disease (I12.-)":"N04","congenital nephrotic syndrome":"N04","lipoid nephrosis":"N04"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}