Q60-Q64
Medium Complexity
Congenital malformations of the urinary system
Primary Specialty: Urology
Last Updated: 2025-09-10
ICD-10 Codes (68)
64 billable0 category headers
Q61Q61.0Billable
Q61.00Billable
Q61.01Billable
Q61.02Billable
Q61.1Billable
Q61.11Billable
Q61.19Billable
Q61.2Billable
Q61.3Billable
Q61.4Billable
Q61.5Billable
Q61.8Billable
Q61.9Billable
Q62Q62.0Billable
Q62.1Billable
Q62.10Billable
Q62.11Billable
Q62.12Billable
Q62.2Billable
Q62.3Billable
Q62.31Billable
Q62.32Billable
Q62.39Billable
Q62.4Billable
Q62.5Billable
Q62.6Billable
Q62.60Billable
Q62.61Billable
Q62.62Billable
Q62.63Billable
Q62.69Billable
Q62.7Billable
Q62.8Billable
Q63Q63.0Billable
Q63.1Billable
Q63.2Billable
Q63.3Billable
Q63.8Billable
Q63.9Billable
Q64Q64.0Billable
Q64.1Billable
Q64.10Billable
Q64.11Billable
Q64.12Billable
Q64.19Billable
Q64.2Billable
Q64.3Billable
Q64.31Billable
Q64.32Billable
Q64.33Billable
Q64.39Billable
Q64.4Billable
Q64.5Billable
Q64.6Billable
Q64.7Billable
Q64.70Billable
Q64.71Billable
Q64.72Billable
Q64.73Billable
Q64.74Billable
Q64.75Billable
Q64.79Billable
Q64.8Billable
Q64.9Billable
Updates & Changes
FY 2026 Updates
Current Year
New Codes (1)
Q23.4
Hypoplastic left heart syndrome with mitral atresia
Revised Codes (1)
Q21.0
Ventricular septal defect - updated to include hemodynamic significance when known
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for Q60-Q64 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
high priority
The ICD-10 code range Q60-Q64 pertains to congenital malformations of the urinary system. These codes are used to document conditions such as renal agenesis and dysgenesis, cystic kidney disease, and other congenital anomalies of kidney and urinary tract. The codes provide a detailed classification system for these congenital conditions, allowing for precise documentation and tracking of patient health data.
Key Usage Points:
- •Always code to the highest level of specificity within the Q60-Q64 range.
- •Use additional codes to identify any associated conditions or complications.
- •Remember to code for laterality when applicable.
- •Use combination codes for conditions that have both a specified type and a specified site.
- •Always verify the code in the Tabular List before finalizing.
Coding Guidelines
When to Use:
- ✓When a patient is diagnosed with a congenital malformation of the urinary system.
- ✓When a patient's congenital urinary system condition is a factor in their current health status or treatment.
- ✓When a patient has a history of a congenital urinary system condition that affects their current health.
- ✓When a patient has a complication or secondary condition resulting from a congenital urinary system malformation.
When NOT to Use:
- ✗When the condition is acquired, not congenital.
- ✗When the condition is not confirmed by the provider.
- ✗When the condition is not relevant to the current episode of care.
- ✗When the condition has been previously coded and has no bearing on the current episode of care.
Code Exclusions
Always verify exclusions in the Tabular List to ensure accurate coding.
Documentation Requirements
Proper documentation for codes within the Q60-Q64 range requires detailed clinical information, including the specific type and location of the malformation, any associated conditions or complications, and the impact of the condition on the patient's health status. Documentation should be clear, concise, and specific.
Clinical Information:
- •Specific type of malformation
- •Location of malformation
- •Laterality, if applicable
- •Associated conditions or complications
- •Impact on patient's health status
Supporting Evidence:
- •Diagnostic test results
- •Imaging studies
- •Operative reports
- •Clinical notes
Good Documentation Example:
Patient diagnosed with bilateral renal agenesis, confirmed by ultrasound. Condition impacting kidney function and overall health status.
Poor Documentation Example:
Patient has kidney issue.
Common Documentation Errors:
- âš Not specifying the type of malformation
- âš Not coding for laterality
- âš Not including associated conditions or complications
- âš Not verifying the code in the Tabular List
Range Statistics
5
Total Codes
64
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:17
Coding Complexity
Medium
Complexity Rating
The coding complexity for the Q60-Q64 range is rated as medium due to the need for a high level of specificity, the use of combination codes, and the need to code for laterality. Additionally, coders must be aware of associated conditions or complications and understand the exclusions within this range.
Key Factors:
- â–¸Need for high level of specificity
- â–¸Use of combination codes
- â–¸Coding for laterality
- â–¸Associated conditions or complications
- â–¸Exclusion of certain conditions
Specialty Focus
The Q60-Q64 codes are primarily used in specialties such as urology, nephrology, and pediatrics. These codes are crucial for tracking patient outcomes, conducting research, and planning resources in these fields.
Primary Specialties:
Urology
40%
Nephrology
30%
Pediatrics
30%
Clinical Scenarios:
- • A newborn diagnosed with polycystic kidney disease.
- • A child with a congenital bladder anomaly requiring surgical intervention.
- • A patient with a history of renal dysgenesis presenting with kidney failure.
- • A patient with a congenital ureter anomaly causing recurrent urinary tract infections.
Resources & References
Numerous resources are available for coding within the Q60-Q64 range, including the official ICD-10 guidelines, clinical reference materials, and educational resources.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Health Information Management Association (AHIMA) guidelines
- American Hospital Association (AHA) Coding Clinic
Clinical References:
- Urology textbooks
- Nephrology journals
- Pediatric medicine resources
Educational Materials:
- ICD-10 coding courses
- Webinars on congenital urinary system malformations
- Coding practice exercises
Frequently Asked Questions
Can I use a Q60-Q64 code for an acquired condition of the urinary system?
No, the Q60-Q64 range is specifically for congenital malformations. Acquired conditions should be coded elsewhere in the ICD-10.