N05.5 Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis

The ICD-10-CM code for Unspecified nephritic syndrome with diffuse mesangiocapillary glomerulonephritis is N05.5 (FY2026). It is a billable, claim-ready diagnosis code.

Classification

Chapter

14: Diseases of the genitourinary system (N00-N99)

Section

N00-N08: Glomerular diseases (N00-N08)

Category N05

12 codes (11 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to N05.5:

• Glomerulonephritis › membranoproliferative (diffuse)(type 1 or 3)
• Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic) › membranoproliferative (diffuse) (type 1 or 3)
• Glomerulonephritis › mesangiocapillary (diffuse) NEC
• Glomerulonephritis › diffuse › mesangiocapillary
• Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic) › with › diffuse › mesangiocapillary glomerulonephritis

Inclusion Terms

• Unspecified nephritic syndrome with membranoproliferative glomerulonephritis, types 1 and 3, or NOS

U.S. Hospital Utilization

• An estimated 620 U.S. inpatient stays in 2023 included N05.5 among the documented diagnoses.
• 75 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

CKD staging and code assignment (N18.-)

The ICD-10-CM classifies CKD based on severity. The severity of CKD is designated by stages 1-5. Stage 2, code N18.2, equates to mild CKD; stage 3, codes N18.30-N18.32, equate to moderate CKD; and stage 4, code N18.4, equates to severe CKD. Code N18.6, End stage renal disease (ESRD), is assigned when the provider has documented end- stage renal disease (ESRD).

CKD stage plus ESRD: assign N18.6 only

If both a stage of CKD and ESRD are documented, assign code N18.6 only.

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool
• AHRQ — HCUP National Inpatient Sample, Frequencies by Diagnosis Code (2016–2023)