N16

Renal tubulo-interstitial disorders in diseases classified elsewhere

FY2027Chapter 14: Diseases of the genitourinary system/N10–N16 Renal tubulo-interstitial diseases

BillableComplete code, valid to report

N16 is a billable ICD-10-CM diagnosis code for renal tubulo-interstitial disorders in diseases classified elsewhere. It is part of the FY2027 code set, effective October 1, 2026. The Alphabetic Index lists it under 22 entries. Its coding notes include a Code first instruction, 11 Excludes1 entries and 8 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

This code

Excludes1

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

This code
  • diphtheritic pyelonephritis and tubulo-interstitial nephritis (A36.84)
  • pyelonephritis and tubulo-interstitial nephritis in candidiasis (B37.49)
  • pyelonephritis and tubulo-interstitial nephritis in cystinosis (E72.04)
  • pyelonephritis and tubulo-interstitial nephritis in salmonella infection (A02.25)
  • pyelonephritis and tubulo-interstitial nephritis in sarcoidosis (D86.84)
  • pyelonephritis and tubulo-interstitial nephritis in Sjogren syndrome (M35.04)
  • pyelonephritis and tubulo-interstitial nephritis in systemic lupus erythematosus (M32.15)
  • pyelonephritis and tubulo-interstitial nephritis in toxoplasmosis (B58.83)
  • renal tubular degeneration in diabetes (E08-E13 with .29)
  • syphilitic pyelonephritis and tubulo-interstitial nephritis (A52.75)
Also from chapter/block level (1 note)
Inherited from N10–N16 Renal tubulo-interstitial diseases
  • pyeloureteritis cystica (N28.85)

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.

Hospice: not accepted as primary

Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Manifestation code. Report the underlying condition first (see the Code first note).

Source: CMS Integrated Outpatient Code Editor (IOCE) v27.3, effective October 1, 2026, edit 86

Includes

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

Also from chapter/block level (1 note)
Inherited from N10–N16 Renal tubulo-interstitial diseases
  • pyelonephritis

Inclusion terms

Conditions classified to this code.

This code
  • Pyelonephritis
  • Tubulo-interstitial nephritis

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 22 entries

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