N03Not billable, use a more specific code below

Chronic nephritic syndrome

In Glomerular diseases (N00-N08), chapter 14: Diseases of the Genitourinary System

11 billable codes under N03: all are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

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Instructional notes

Includes: conditions that are coded here

  • chronic glomerular disease
  • chronic glomerulonephritis
  • chronic nephritis

Excludes1: not coded here, use a different code

  • chronic tubulo-interstitial nephritis (N11.-)
  • diffuse sclerosing glomerulonephritis (N05.8-)
  • nephritic syndrome NOS (N05.-)

Also applies, from Glomerular diseases (N00-N08)

These notes sit on N00-N08 and apply to every code under it, including N03.

Excludes1: not coded here, use a different code

  • hypertensive chronic kidney disease (I12.-)

Code also: add a code for this too, order depends on the encounter

  • any associated kidney failure (N17-N19).

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers chronic kidney disease staging, CKD in kidney transplant patients, and sequencing CKD with related conditions such as diabetes and hypertension.

Read Section I.C.14 (page 62)

N03 MS-DRGs

As the principal diagnosis, all 11 billable codes under N03 group to MS-DRG 698, 699, or 700 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Kidney Diseases

You have two kidneys, each about the size of your fist. They are near the middle of your back, just below the rib cage. Inside each kidney there are about a million tiny structures called nephrons. They filter your blood. They remove wastes and extra water, which become urine. The urine flows through tubes called ureters. It goes to your bladder, which stores the urine until you go to the bathroom.

Read more about kidney diseases on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.