All ICD10 Codes
Q61Not billable, use a more specific code below

Cystic kidney disease

In Congenital malformations of the urinary system (Q60-Q64), chapter 17: Congenital Malformations, Deformations and Chromosomal Abnormalities

11 billable codes under Q61: all are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Advertisements

Instructional notes

Excludes1: not coded here, use a different code

  • acquired cyst of kidney (N28.1)
  • Potter's syndrome (Q60.6)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Assign Q00-QA1 codes for documented congenital anomalies or genetic disorders at any age, coding non-inherent manifestations separately and sequencing Z38 first on the birth admission.

Read Section I.C.17 (page 74)

All codes under Q61

Q61 can't be used on a claim. Pick a billable code below; grey headings group them.

Q61 MS-DRGs

As the principal diagnosis, all 11 billable codes under Q61 group to MS-DRG 698, 699, or 700 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to Q61

Notes on these codes point to Q61.

  • N28.1 Excludes1: cystic kidney disease (congenital) (Q61.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Kidney Cysts

A cyst is a fluid-filled sac. You may get simple kidney cysts as you age; they are usually harmless. There are also some diseases which cause kidney cysts. One type is polycystic kidney disease (PKD). It runs in families. In PKD, many cysts grow in the kidneys. This can enlarge the kidneys and make them work poorly. About half of people with the most common type of PKD end up with kidney failure. PKD also causes cysts in other parts of the body, such as the liver.

Read more about kidney cysts on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.