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

N06 Isolated proteinuria with specified morphological lesion

All 14 codes in the N06 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

14

Can lead a claim

13

Cannot lead a claim

1

What CMS assigns to N06

13 of the 14 codes group to MMTA - Other (12) and MMTA - Gastrointestinal tract and Genitourinary system (1); 1 is assigned no clinical group. 1 of the 14 counts toward the Other disorders of the kidney and ureter, excluding chronic kidney disease and ESRD comorbidity subgroup; 13 are assigned none. 13 of the 14 can lead a claim. CMS attaches a code-first note to 1 of the 14.

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

Code first

CMS grouper convention 12, on N06.22. Code first:

  • underlying disease

Every code in N06

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
N06.0Isolated proteinuria with minor glomerular abnormalityCan lead a claimANone
N06.1Isolated proteinuria with focal and segmental glomerular lesionsCMS: Isolated protein w focal and segmental glomerular lesionsCan lead a claimANone
N06.2 Isolated proteinuria with diffuse membranous glomerulonephritis
N06.20Isolated proteinuria with diffuse membranous glomerulonephritis, unspecifiedCMS: Isolated protein with diffuse membranous glomrlneph, unspCan lead a claimANone
N06.21Primary membranous nephropathy with isolated proteinuriaCan lead a claimANone
N06.22Secondary membranous nephropathy with isolated proteinuriaCan lead a claim, code first appliesANone
N06.29Other isolated proteinuria with diffuse membranous glomerulonephritisCMS: Other isolated protein with diffuse membranous glomrlnephCan lead a claimANone
N06.3Isolated proteinuria with diffuse mesangial proliferative glomerulonephritisCMS: Isolated proteinuria w diffuse mesangial prolif glomrlnephCan lead a claimANone
N06.4Isolated proteinuria with diffuse endocapillary proliferative glomerulonephritisCMS: Isolated proteinuria w diffuse endocaplry prolif glomrlnephCan lead a claimANone
N06.5Isolated proteinuria with diffuse mesangiocapillary glomerulonephritisCMS: Isolated proteinuria w diffuse mesangiocapillary glomrlnephCan lead a claimANone
N06.6Isolated proteinuria with dense deposit diseaseCan lead a claimANone
N06.7Isolated proteinuria with diffuse crescentic glomerulonephritisCMS: Isolated proteinuria w diffuse crescentic glomerulonephritisCan lead a claimANone
N06.8Isolated proteinuria with other morphologic lesionCan lead a claimANone
N06.9Isolated proteinuria with unspecified morphologic lesionCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
N06.AIsolated proteinuria 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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