October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

N05 Unspecified nephritic syndrome

All 11 codes in the N05 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

11

Can lead a claim

10

Cannot lead a claim

1

What CMS assigns to N05

10 of the 11 codes group to MMTA - Gastrointestinal tract and Genitourinary system (8) and MMTA - Other (2); 1 is assigned no clinical group. 1 of the 11 counts toward the Other disorders of the kidney and ureter, excluding chronic kidney disease and ESRD comorbidity subgroup; 10 are assigned none. 10 of the 11 can lead a claim.

  • Other disorders of the kidney and ureter, excluding chronic kidney disease and ESRD: counts toward the high comorbidity tier only in an interaction pair.

Every code in N05

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
N05.0Unspecified nephritic syndrome with minor glomerular abnormalityCMS: Unsp nephritic syndrome with minor glomerular abnormalityCan lead a claimJNone
N05.1Unspecified nephritic syndrome with focal and segmental glomerular lesionsCMS: Unsp neph syndrome w focal and segmental glomerular lesionsCan lead a claimJNone
N05.2Unspecified nephritic syndrome with diffuse membranous glomerulonephritisCMS: Unsp nephritic syndrome w diffuse membranous glomrlnephCan lead a claimJNone
N05.3Unspecified nephritic syndrome with diffuse mesangial proliferative glomerulonephritisCMS: Unsp neph syndrome w diffuse mesangial prolif glomrlnephCan lead a claimJNone
N05.4Unspecified nephritic syndrome with diffuse endocapillary proliferative glomerulonephritisCMS: Unsp neph syndrome w diffuse endocaplry prolif glomrlnephCan lead a claimANone
N05.5Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritisCMS: Unsp nephritic syndrome w diffuse mesangiocap glomrlnephCan lead a claimJNone
N05.6Unspecified nephritic syndrome with dense deposit diseaseCan lead a claimANone
N05.7Unspecified nephritic syndrome with diffuse crescentic glomerulonephritisCMS: Unsp nephritic syndrome w diffuse crescentic glomrlnephCan lead a claimJNone
N05.8Unspecified nephritic syndrome with other morphologic changesCMS: Unsp nephritic syndrome with other morphologic changesCan lead a claimJNone
N05.9Unspecified nephritic syndrome with unspecified morphologic changesCMS: Unsp nephritic syndrome with unspecified morphologic changesCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
N05.AUnspecified nephritic syndrome with C3 glomerulonephritisCan lead a claimJOther disorders of the kidney and ureter, excluding chronic kidney disease and ESRD

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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