New code · FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
N04.B2
- N04CategoryNephrotic syndrome
- BCharacter 4Nephrotic syndrome with immune complex membranoproliferative glomerulonephritis (IC-MPGN)
- 2Character 5Nephrotic syndrome with secondary immune complex membranoproliferative glomerulonephritis (IC-MPGN)
Coding notes
Includes (from N04)
- congenital nephrotic syndrome
- lipoid nephrosis
Medicare coverage
N04.B2 is listed as a covered diagnosis in 2 Medicare billing and coding articles:
- A54548 Billing and Coding: Eculizumab, and Biosimilars: EPYSQLI®-eculizumab-aagh, and BKEMVâ¢-eculizumab-aeeb
- A59186 Billing and Coding: Magnesium
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ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.