N14.4 — Toxic nephropathy, not elsewhere classified
Is N14.4 billable?
Yes, but N14.4 is an unspecified code. N14.4 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, N14.4 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting N14.4 — the more specific alternatives are listed below.
N14.4 at a glance
| Code | N14.4 |
|---|---|
| Description | Toxic nephropathy, not elsewhere classified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does N14.4 group to?
N14.4 sits in MDC 11 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 698Other Kidney and Urinary Tract Diagnoses with MCCmedical
- 699Other Kidney and Urinary Tract Diagnoses with CCmedical
- 700Other Kidney and Urinary Tract Diagnoses without CC/MCCmedical
How is N14.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to N14.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Nephropathy › toxic NEC
Excludes1 — never code together — inherited from N10-N16
The conditions below can never be reported together with N14.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- pyeloureteritis cystica (N28.85)
Code first — inherited from N14
The underlying condition below must be sequenced before N14.4. N14.4 describes a manifestation and cannot be the principal or first-listed diagnosis.
- poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)
Use additional code — inherited from N14
Report an additional code alongside N14.4 to fully describe the condition. N14.4 is sequenced first.
- code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes2 — not included here — inherited from Chapter 14
The conditions below are not part of N14.4, but a patient may have both at the same time. When documentation supports it, N14.4 and the excluded code may both be reported.
- 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)
How long has N14.4 existed?
N14.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.