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v1.0.0
ICD-10 Guide
ICD-10 CodesN07.5

N07.5

Billable

Hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis

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

Code Description

ICD-10 N07.5 is a billable code used to indicate a diagnosis of hereditary nephropathy, not elsewhere classified with diffuse mesangiocapillary glomerulonephritis.

Key Diagnostic Point:

N07.5 refers to a specific type of hereditary nephropathy characterized by diffuse mesangiocapillary glomerulonephritis. This condition is often associated with genetic mutations that affect the kidney's filtering units, leading to proteinuria and potential progression to chronic kidney disease. Patients may present with isolated proteinuria, which can be a key indicator of underlying glomerular disorders. The hereditary nature of this nephropathy suggests a familial pattern, often necessitating genetic testing to identify specific mutations. The diffuse mesangiocapillary glomerulonephritis component indicates a particular histological pattern observed in kidney biopsies, characterized by mesangial cell proliferation and capillary wall thickening. This condition may not fit neatly into other classifications of kidney disease, making accurate coding essential for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of hereditary nephropathy and its genetic basis.
  • Involves knowledge of glomerular disorders and their classifications.
  • Differentiation from other types of nephropathy can be challenging.
  • Documentation must clearly indicate the hereditary nature and specific histological findings.

Audit Risk Factors

  • Insufficient documentation of hereditary nature.
  • Lack of genetic testing results in the medical record.
  • Inadequate description of clinical findings related to proteinuria.
  • Failure to document the specific histological findings from kidney biopsy.

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed clinical history, genetic testing results, and biopsy findings.

Common Clinical Scenarios

Patients presenting with unexplained proteinuria, family history of kidney disease, and abnormal kidney function tests.

Billing Considerations

Ensure that genetic testing results are included in the documentation to support the hereditary diagnosis.

Genetics

Documentation Requirements

Family history, genetic testing results, and interpretation of genetic findings.

Common Clinical Scenarios

Patients referred for genetic counseling due to family history of nephropathy.

Billing Considerations

Document the rationale for genetic testing and any findings that may influence treatment.

Coding Guidelines

Inclusion Criteria

Use N07.5 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant laboratory results and genetic testing outcomes
  • The code should only be used when the condition is confirmed and documented by a qualified healthcare provider

Exclusion Criteria

Do NOT use N07.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

81229CPT Code

Genetic testing for hereditary nephropathy

Clinical Scenario

Used when genetic testing is performed to confirm a diagnosis of hereditary nephropathy.

Documentation Requirements

Documentation of the clinical rationale for testing and results.

Specialty Considerations

Nephrology specialists should ensure that genetic testing is clearly linked to the diagnosis.

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 diagnoses and facilitating better patient management. N07.5 provides a distinct classification that aids in understanding the genetic basis of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hereditary nephropathies, improving the accuracy of diagnoses and facilitating better patient management. N07.5 provides a distinct classification that aids in understanding the genetic basis of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hereditary nephropathies, improving the accuracy of diagnoses and facilitating better patient management. N07.5 provides a distinct classification that aids in understanding the genetic basis of the condition.

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 N07.5?

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