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

ICD-10 N07.1

Billable / Specific

Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions

N07
Block
3
Synonyms
4
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM N07.1

ICD-10-CM code N07.1 represents Hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions. This is a billable/specific code in the Genitourinary System chapter (block N07). The 2026 edition of ICD-10-CM N07.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N07.1. Per CMS ICD-10-CM Tabular 2026.

  • Hereditary nephropathy, not elsewhere classified with focal and segmental hyalinosis
  • Hereditary nephropathy, not elsewhere classified with focal and segmental sclerosis
  • Hereditary nephropathy, not elsewhere classified with focal glomerulonephritis

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.

Medicare LCD Coverage for N07.1

Local Coverage Determinations (LCDs) from CMS MACs that list N07.1 as a covered diagnosis.

4 LCDs

Showing top 4. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Retroperitoneal Ultrasound
Article ID: 55336, Effective: 2025-10-01 00:00:00, 797 covered, 0 non-covered
CPT 76775 →
CMS LCD: Billing and Coding: Retroperitoneal Ultrasound
Article ID: 55336, Effective: 2025-10-01 00:00:00, 797 covered, 0 non-covered
CPT 76770 →
CMS LCD: Billing and Coding: Retroperitoneal Ultrasound
Article ID: 55336, Effective: 2025-10-01 00:00:00, 797 covered, 0 non-covered
CPT 76776 →
CMS LCD: Billing and Coding: Serum Magnesium
Article ID: 57189, Effective: 2025-10-16 00:00:00, 1405 covered, 0 non-covered
CPT 83735 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N07.1.

2 policies

2 Medicare

Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: Serum Magnesium
Policy ID: ART-57189

CPT Codes Commonly Billed with N07.1

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

No procedure linkages on file for N07.1

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.

Convert N07.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N07.1 58389 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To N07.1

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 N07.1, Billing FAQ

Is ICD-10 code N07.1 billable? +

Yes, N07.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to N07.1? +

ICD-10 N07.1 includes: Hereditary nephropathy, not elsewhere classified with focal and segmental hyalinosis; Hereditary nephropathy, not elsewhere classified with focal and segmental sclerosis; Hereditary nephropathy, not elsewhere classified with focal glomerulonephritis.

What ICD-9 codes does N07.1 map to? +

Per CMS GEMs, N07.1 maps to ICD-9 codes: 58389. Useful for legacy data review and historical claim analysis.

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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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