ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesQ61.00

Q61.00

Billable

Congenital renal cyst, unspecified

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

Code Description

ICD-10 Q61.00 is a billable code used to indicate a diagnosis of congenital renal cyst, unspecified.

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 while many are asymptomatic, they can lead to complications such as hypertension, renal insufficiency, or urinary tract infections. Congenital renal cysts may be associated with other congenital malformations of the urinary system, such as renal agenesis, where one or both kidneys fail to develop, or polycystic kidney disease, characterized by multiple cysts leading to enlarged kidneys. Other related conditions include bladder exstrophy, a defect where the bladder is exposed outside the body, and posterior urethral valves, which can obstruct urine flow and cause damage to the urinary tract. Diagnosis typically involves imaging studies such as ultrasound or MRI, and management may require surgical intervention depending on the severity and associated complications. Accurate coding is essential for proper treatment planning and resource allocation in pediatric care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of renal cysts
  • Potential association with other congenital anomalies
  • Need for imaging studies for accurate diagnosis
  • Differentiation from acquired renal cysts

Audit Risk Factors

  • Inadequate documentation of the cyst's characteristics
  • Failure to document associated congenital anomalies
  • Misclassification of renal cysts as acquired rather than congenital
  • Lack of imaging results in the medical record

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, including prenatal factors and family history of congenital conditions.

Common Clinical Scenarios

Infants presenting with abdominal masses, hypertension, or urinary tract infections.

Billing Considerations

Consideration of growth and development milestones in relation to renal function.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and any syndromic associations.

Common Clinical Scenarios

Cases requiring genetic counseling for familial renal conditions or syndromes.

Billing Considerations

Understanding the inheritance patterns and implications for family members.

Coding Guidelines

Inclusion Criteria

Use Q61.00 When
  • Follow ICD
  • CM guidelines for coding congenital conditions, ensuring specificity in documentation and coding based on clinical findings and imaging results

Exclusion Criteria

Do NOT use Q61.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76700CPT Code

Ultrasound, abdomen, complete

Clinical Scenario

Used for initial evaluation of renal cysts in infants.

Documentation Requirements

Document indications for ultrasound and findings.

Specialty Considerations

Pediatric specialists should ensure appropriate imaging protocols are followed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for greater specificity in coding congenital renal conditions, improving data accuracy and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 allows for greater specificity in coding congenital renal conditions, improving data accuracy and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 allows for greater specificity in coding congenital renal conditions, improving data accuracy and resource allocation.

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 is the difference between congenital renal cysts and acquired renal cysts?

Congenital renal cysts are present at birth and arise from developmental abnormalities, while acquired renal cysts develop later in life due to various factors such as age, kidney disease, or injury. Accurate coding requires clear documentation to differentiate between the two.