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ICD-10 Guide
ICD-10 CodesChapter 14: Diseases of the genitourinary systemN07

N07

Billable

Hereditary nephropathy, not elsewhere classified

Chapter 14:Diseases of the genitourinary system

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

Code Description

ICD-10 N07 is a billable code used to indicate a diagnosis of hereditary nephropathy, not elsewhere classified.

Key Diagnostic Point:

Hereditary nephropathy encompasses a range of kidney disorders that are genetically inherited and can lead to chronic kidney disease. The N07 code specifically refers to nephropathies that do not fit into other specified categories. Isolated proteinuria is a common manifestation of hereditary nephropathy, where patients present with protein in the urine without significant hematuria or other symptoms. This condition can be associated with various glomerular disorders, including Alport syndrome and thin basement membrane nephropathy, which are classified under hereditary conditions. Genetic testing plays a crucial role in diagnosing hereditary nephropathies, as it can identify specific mutations responsible for the disease, guiding treatment and management. Clinicians must document the patient's family history, clinical findings, and results of genetic tests to support the use of this code accurately. Understanding the genetic basis of these conditions is essential for effective management and counseling of affected individuals and their families.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of hereditary nephropathies that may present similarly
  • Need for genetic testing documentation
  • Differentiation from acquired nephropathies
  • Potential for overlapping symptoms with other kidney disorders

Audit Risk Factors

  • Inadequate documentation of genetic testing results
  • Failure to document family history of kidney disease
  • Misclassification of hereditary nephropathy as acquired
  • Lack of specificity in describing the type of nephropathy

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Comprehensive family history, genetic test results, and clinical findings must be documented.

Common Clinical Scenarios

Patients presenting with isolated proteinuria, family history of kidney disease, or symptoms suggestive of hereditary nephropathy.

Billing Considerations

Nephrologists should ensure that all relevant genetic information is included in the patient's record to support the diagnosis.

Genetics

Documentation Requirements

Detailed reports of genetic testing and counseling sessions must be included.

Common Clinical Scenarios

Patients undergoing genetic testing for suspected hereditary nephropathy.

Billing Considerations

Geneticists should provide clear documentation of the implications of test results for family members.

Coding Guidelines

Inclusion Criteria

Use N07 When
  • According to ICD
  • 10 guidelines, N07 should be used when hereditary nephropathy is confirmed and not classified elsewhere
  • Coders must ensure that the diagnosis is supported by genetic testing and clinical documentation

Exclusion Criteria

Do NOT use N07 When
No specific exclusions found.

Related CPT Codes

81220CPT Code

Genetic testing for hereditary nephropathy

Clinical Scenario

Used when a patient is suspected of having a hereditary nephropathy based on clinical presentation.

Documentation Requirements

Documentation of clinical indications for testing and informed consent.

Specialty Considerations

Geneticists should ensure that the rationale for testing is clearly documented.

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. This specificity aids in better understanding the epidemiology of these conditions.

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. This specificity aids in better understanding the epidemiology of these conditions.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the epidemiology of these conditions.

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 hereditary nephropathy?

Genetic testing is crucial for confirming the diagnosis of hereditary nephropathy, identifying specific mutations, and guiding treatment options. It also helps in assessing the risk for family members.