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ICD-10 Guide
ICD-10 CodesQ61.11

Q61.11

Billable

Cystic dilatation of collecting ducts

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

Code Description

ICD-10 Q61.11 is a billable code used to indicate a diagnosis of cystic dilatation of collecting ducts.

Key Diagnostic Point:

Cystic dilatation of collecting ducts is a congenital malformation characterized by the abnormal enlargement of the collecting ducts within the kidneys. This condition can lead to impaired renal function and may be associated with other urinary tract anomalies. It is often identified through imaging studies such as ultrasound or MRI, particularly in pediatric patients. The cystic dilatation can result from developmental abnormalities during nephrogenesis, which may also be linked to genetic syndromes or chromosomal abnormalities. Patients may present with symptoms such as abdominal pain, urinary tract infections, or hypertension. Management typically involves monitoring renal function and may require surgical intervention if significant obstruction or complications arise. Understanding the relationship between cystic dilatation and other congenital conditions, such as renal agenesis or polycystic kidney disease, is crucial for accurate diagnosis and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of symptoms
  • Potential association with other congenital anomalies
  • Need for imaging studies for accurate diagnosis
  • Differentiation from similar conditions (e.g., hydronephrosis)

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to capture relevant imaging studies
  • Misclassification of the severity of the condition
  • Lack of genetic counseling documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include growth parameters, developmental milestones, and any associated symptoms or complications. Detailed family history is also essential.

Common Clinical Scenarios

Common scenarios include newborns presenting with abdominal distension or urinary issues, and older children with recurrent urinary tract infections.

Billing Considerations

Consideration must be given to the child's overall health, potential for growth impairment, and the need for multidisciplinary management.

Genetics

Documentation Requirements

Genetic documentation should include family history of congenital anomalies, results of genetic testing, and any syndromic associations.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of renal anomalies or syndromic presentations.

Billing Considerations

Genetic factors influencing the condition should be documented, including any chromosomal abnormalities that may be present.

Coding Guidelines

Inclusion Criteria

Use Q61.11 When
  • Follow official ICD
  • CM guidelines for coding congenital conditions, ensuring accurate documentation of the condition's severity and any associated anomalies
  • Use additional codes as necessary to capture related conditions

Exclusion Criteria

Do NOT use Q61.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

76700CPT Code

Ultrasound, abdomen, complete

Clinical Scenario

Used to evaluate renal structure and function in patients with suspected cystic dilatation.

Documentation Requirements

Document indications for the ultrasound and findings related to cystic changes.

Specialty Considerations

Pediatric specialists should ensure that the ultrasound is interpreted in the context of the child's overall health.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the prevalence and management of cystic dilatation and related anomalies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, improving the accuracy of data collection and reimbursement processes. This specificity aids in better understanding the prevalence and management of cystic dilatation and related anomalies.

Reimbursement & Billing Impact

reimbursement processes. This specificity aids in better understanding the prevalence and management of cystic dilatation and related anomalies.

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 symptoms associated with cystic dilatation of collecting ducts?

Common symptoms include abdominal pain, urinary tract infections, and hypertension. Some patients may be asymptomatic and diagnosed incidentally during imaging for other reasons.