ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N02.B5

Billable / Specific CC

Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangial proliferative glomerulonephritis

N02
Block
0
Synonyms
1
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM N02.B5

ICD-10-CM code N02.B5 represents Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangial proliferative glomerulonephritis. This is a billable/specific code in the Genitourinary System chapter (block N02). The 2026 edition of ICD-10-CM N02.B5 became effective on October 1, 2025.

Coding Tips for N02.B5

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

N02.B5 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Medicare Advantage HCC Impact

ESRD-HCC
Category 141

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, CC

codes Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangial proliferative glomerulonephritis. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for N02.B5

Local Coverage Determinations (LCDs) from CMS MACs that list N02.B5 as a covered diagnosis.

1 LCDs

Showing top 1. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N02.B5.

1 policies

1 Medicare

Billing and Coding: Magnesium
Policy ID: ART-59186

CPT Codes Commonly Billed with N02.B5

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N02.B5

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Codes Adjacent To N02.B5

Other codes in section N00-N08 (Glomerular diseases).

N00 Acute nephritic syndrome (non-billable) N00.0 Acute nephritic syndrome with minor glomerular abnormality N00.1 Acute nephritic syndrome with focal and segmental glomerular lesions N00.2 Acute nephritic syndrome with diffuse membranous glomerulonephritis N00.3 Acute nephritic syndrome with diffuse mesangial proliferative glomerulonephritis N00.4 Acute nephritic syndrome with diffuse endocapillary proliferative glomerulonephritis N00.5 Acute nephritic syndrome with diffuse mesangiocapillary glomerulonephritis N00.6 Acute nephritic syndrome with dense deposit disease N00.7 Acute nephritic syndrome with diffuse crescentic glomerulonephritis N00.8 Acute nephritic syndrome with other morphologic changes N00.9 Acute nephritic syndrome with unspecified morphologic changes N00.A Acute nephritic syndrome with C3 glomerulonephritis N00.B Acute nephritic syndrome with immune complex membranoproliferative glomerulonephritis (non-billable) N00.B1 Acute nephritic syndrome with idiopathic immune membranoproliferative glomerulonephritis (IC-MPGN) N00.B2 Acute nephritic syndrome with secondary immune complex membranoproliferative glomerulonephritis (IC-MPGN) N01 Rapidly progressive nephritic syndrome (non-billable) N01.0 Rapidly progressive nephritic syndrome with minor glomerular abnormality N01.1 Rapidly progressive nephritic syndrome with focal and segmental glomerular lesions N01.2 Rapidly progressive nephritic syndrome with diffuse membranous glomerulonephritis N01.3 Rapidly progressive nephritic syndrome with diffuse mesangial proliferative glomerulonephritis

ICD-10 N02.B5, Billing FAQ

Is ICD-10 code N02.B5 billable? +

Yes, N02.B5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Is N02.B5 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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