ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN07.1

N07.1

Billable

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

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N07.1 is a billable code used to indicate a diagnosis of hereditary nephropathy, not elsewhere classified with focal and segmental glomerular lesions.

Key Diagnostic Point:

N07.1 refers to a specific type of hereditary nephropathy characterized by focal and segmental glomerular lesions. This condition is often associated with genetic mutations that affect kidney function, leading to isolated proteinuria and potential progression to chronic kidney disease. Patients may present with varying degrees of proteinuria, which can be a key indicator of glomerular damage. The hereditary nature of this nephropathy suggests a familial pattern, often necessitating genetic testing to identify specific mutations. The diagnosis is typically confirmed through a combination of clinical evaluation, laboratory tests, and renal biopsy, which reveals the characteristic glomerular lesions. Understanding the genetic basis of this condition is crucial for management and counseling of affected families, as it can inform prognosis and potential treatment options.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of genetic implications and family history.
  • Differentiation from other nephropathies with similar presentations.
  • Need for precise documentation of clinical findings and biopsy results.
  • Potential for overlapping symptoms with diseases classified elsewhere.

Audit Risk Factors

  • Inadequate documentation of genetic testing results.
  • Failure to document family history of nephropathy.
  • Misclassification of nephropathy type due to overlapping symptoms.
  • Lack of detailed clinical notes regarding proteinuria levels.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed clinical notes on renal function tests, proteinuria levels, and biopsy findings.

Common Clinical Scenarios

Patients presenting with unexplained proteinuria or family history of kidney disease.

Billing Considerations

Ensure genetic testing results are included in the medical record for accurate coding.

Genetics

Documentation Requirements

Comprehensive family history and genetic test results.

Common Clinical Scenarios

Patients referred for genetic counseling due to hereditary kidney disease.

Billing Considerations

Document the specific genetic mutations identified and their implications for treatment.

Coding Guidelines

Inclusion Criteria

Use N07.1 When
  • According to ICD
  • 10 guidelines, N07
  • 1 should be used when the nephropathy is hereditary and characterized by focal and segmental lesions
  • It is important to document the specific type of glomerular lesions and any associated symptoms

Exclusion Criteria

Do NOT use N07.1 When
  • Exclusion criteria include nephropathies due to systemic diseases or secondary causes

Related ICD-10 Codes

Related CPT Codes

81229CPT Code

Genetic testing for nephropathy-related mutations

Clinical Scenario

Used when genetic testing is performed to confirm hereditary nephropathy.

Documentation Requirements

Document the specific tests performed and the rationale for testing.

Specialty Considerations

Nephrology and genetics should collaborate to ensure accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hereditary nephropathies, improving the accuracy of data collection and reimbursement processes. N07.1 provides a clear distinction from other nephropathies, facilitating better patient management and research opportunities.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hereditary nephropathies, improving the accuracy of data collection and reimbursement processes. N07.1 provides a clear distinction from other nephropathies, facilitating better patient management and research opportunities.

Reimbursement & Billing Impact

reimbursement processes. N07.1 provides a clear distinction from other nephropathies, facilitating better patient management and research opportunities.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of genetic testing in N07.1?

Genetic testing is crucial for confirming the hereditary nature of the nephropathy, identifying specific mutations, and guiding treatment options. It also helps in family planning and risk assessment for relatives.