N03.5

Chronic nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

FY2027Chapter 14: Diseases of the genitourinary system/N00–N08 Glomerular diseases

BillableComplete code, valid to report

N03.5 (also written N035) is a billable ICD-10-CM diagnosis code for chronic nephritic syndrome with diffuse mesangiocapillary glomerulonephritis. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 11 codes in category N03 (Chronic nephritic syndrome). The Alphabetic Index lists it under 1 entry. Its coding notes include a Code also instruction, 6 Excludes1 entries and 8 Excludes2 entries.

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

Also from chapter/block level (1 note)
Inherited from N00–N08 Glomerular diseases
  • any associated kidney failure (N17-N19).

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • Chronic nephritic syndrome with C3 glomerulonephritis (N03.A)
  • Chronic nephritic syndrome with C3 glomerulopathy (N03.A)
Inherited from N03 Chronic nephritic syndrome
  • chronic tubulo-interstitial nephritis (N11.-)
  • diffuse sclerosing glomerulonephritis (N05.8-)
  • nephritic syndrome NOS (N05.-)
Also from chapter/block level (1 note)
Inherited from N00–N08 Glomerular diseases
  • hypertensive chronic kidney disease (I12.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (8 notes)
Inherited from Chapter 14 Diseases of the genitourinary system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 277 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Includes

Further defines or gives examples of the content of the category.

Inherited from N03 Chronic nephritic syndrome
  • chronic glomerular disease
  • chronic glomerulonephritis
  • chronic nephritis

Inclusion terms

Conditions classified to this code.

This code
  • Chronic nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry