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v1.0.0
ICD-10 Guide
ICD-10 CodesQ61.0

Q61.0

Billable

Congenital renal cyst

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q61.0 is a billable code used to indicate a diagnosis of congenital renal cyst.

Key Diagnostic Point:

Congenital renal cysts are fluid-filled sacs that develop in the kidneys during fetal development. These cysts can vary in size and number, and they may affect one or both kidneys. Congenital renal cysts can be classified into several types, including simple cysts, which are typically asymptomatic and discovered incidentally, and more complex cysts that may be associated with other renal anomalies or syndromes. In some cases, congenital renal cysts can lead to complications such as hypertension, renal insufficiency, or infection. The presence of renal cysts can be part of broader syndromic conditions, such as autosomal dominant polycystic kidney disease (ADPKD) or multicystic dysplastic kidney (MCDK). Accurate diagnosis often involves imaging studies such as ultrasound or MRI, and management may require monitoring or surgical intervention depending on the cyst's characteristics and associated symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated conditions
  • Need for imaging studies to confirm diagnosis
  • Potential for co-occurring congenital anomalies
  • Differentiation from acquired renal cysts

Audit Risk Factors

  • Inadequate documentation of imaging results
  • Failure to note associated congenital anomalies
  • Misclassification of cyst type
  • Lack of family history documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and any associated symptoms or complications related to renal cysts.

Common Clinical Scenarios

Common scenarios include routine prenatal ultrasound findings of renal cysts, evaluation of hypertension in a child, or assessment of renal function in a child with known cystic disease.

Billing Considerations

Consideration must be given to the child's age, growth patterns, and any signs of renal impairment or systemic involvement.

Genetics

Documentation Requirements

Genetic documentation should include family history of renal disease, genetic testing results if applicable, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of polycystic kidney disease or evaluation of syndromic conditions associated with renal cysts.

Billing Considerations

Genetic factors may play a significant role in the presentation and management of congenital renal cysts, necessitating thorough documentation.

Coding Guidelines

Inclusion Criteria

Use Q61.0 When
  • 10 coding guidelines for congenital conditions emphasize the importance of accurate documentation of the congenital nature of the condition, associated anomalies, and any relevant family history

Exclusion Criteria

Do NOT use Q61.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76700CPT Code

Ultrasound, abdomen, complete

Clinical Scenario

Used to evaluate renal cysts in pediatric patients.

Documentation Requirements

Document indications for ultrasound and findings related to renal cysts.

Specialty Considerations

Pediatric specialists should ensure that the ultrasound findings are clearly linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital renal conditions, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital renal conditions, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common complications associated with congenital renal cysts?

Common complications include hypertension, renal insufficiency, urinary tract infections, and potential progression to chronic kidney disease, particularly in cases with multiple or complex cysts.