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N04.5 vs N04.A

N04.5 (Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritis) compared with N04.A (Nephrotic syndrome with C3 glomerulonephritis), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N04.5 carries an Excludes1 note covering N04.A: “Nephrotic syndrome with C3 glomerulonephritis (N04.A)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. N04.5 carries an Excludes1 note covering N04.A: “Nephrotic syndrome with C3 glomerulopathy (N04.A)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

N04.5Nephrotic syndrome with diffuse mesangiocapillary glomerulonephritisN04.ANephrotic syndrome with C3 glomerulonephritis
Billing statusBillableBillable
ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)N00-N99 — Diseases of the Genitourinary System (N00-N99)
DefinitionNephrotic syndrome with diffuse mesangiocapillary glomerulonephritis is a billable ICD-10-CM diagnosis code (N04.5).Nephrotic syndrome with C3 glomerulonephritis is a billable ICD-10-CM diagnosis code (N04.A).
Includes
congenital nephrotic syndrome
lipoid nephrosis
congenital nephrotic syndrome
lipoid nephrosis
Nephrotic syndrome with C3 glomerulopathy

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources