N12 diagnosis code · Billable category · FY2027
N12 Tubulo-interstitial nephritis, not specified as acute or chronic
- Billable
- CC
- POA reported
N12 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.
Where it sits
- Chapter 14 Diseases of the genitourinary system (N00-N99)
- N10-N16 Renal tubulo-interstitial diseases (N10-N16)
- N12 Tubulo-interstitial nephritis, not specified as acute or chronic
- CC / MCC
- CC
- MS-DRG
- 689-690, 791, 793
- HCC V28
- –
- POA
- Reported
- Code Editor
- –
- Index entries
- 6
Instructions
At N12
Inclusion terms
- Interstitial nephritis NOS
- Pyelitis NOS
- Pyelonephritis NOS
Excludes1
- calculous pyelonephritis (N20.9) N20.9
Notes that also apply
Block N10-N16 instructions (Includes 1, Excludes1 1): printed on the block page.
Chapter 14 instructions (Excludes2 8): printed on the chapter 14 page.
Index entries
- Pyonephritis → N12
- Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic)›antitubular basement membrane (tubulo-interstitial) NEC → N12
- Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic)›tubulo-interstitial (in) → N12
- Pyelonephritis›nonobstructive → N12
- Disease, diseased›antiglomerular basement membrane (anti- GBM) antibody›tubulo-interstitial nephritis → N12
- Disease, diseased›renal (functional) (pelvis)›with›interstitial nephritis → N12
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | CC |
|---|---|
| PDX exclusion list | 1328 (228 codes) |
| Appendix B | MDC 11 Diseases and Disorders of the Kidney and Urinary Tract, MS-DRG 689-690 (Kidney and Urinary Tract Infections with MCC…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 791 (Prematurity with Major Problems…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 793 (Full Term Neonate with Major Problems…) |
| Code Editor | – |
| POA | Reported |
| HCC V28 | – |
CC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.
CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.