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v1.0.0
ICD-10 Guide
ICD-10 CodesQ61.8

Q61.8

Billable

Other cystic kidney diseases

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

Code Description

ICD-10 Q61.8 is a billable code used to indicate a diagnosis of other cystic kidney diseases.

Key Diagnostic Point:

Q61.8 refers to other cystic kidney diseases that are congenital in nature, which may include conditions such as renal agenesis, polycystic kidney disease, and other less common cystic renal anomalies. Renal agenesis is characterized by the absence of one or both kidneys, leading to significant implications for renal function and overall health. Polycystic kidney disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys, which can lead to renal failure and other complications. Other cystic kidney diseases may include conditions like nephronophthisis and medullary cystic kidney disease, which can also affect renal function. These congenital malformations often require multidisciplinary management, including pediatric nephrology, urology, and genetics, to address the complex needs of affected children. Accurate coding is essential for appropriate treatment planning and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of conditions
  • Need for precise documentation of associated anomalies
  • Differentiation from other renal conditions
  • Potential for overlapping diagnoses

Audit Risk Factors

  • Inadequate documentation of the specific cystic condition
  • Failure to document associated congenital anomalies
  • Misclassification of cystic kidney diseases
  • Lack of genetic testing documentation when applicable

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, including prenatal and perinatal factors, growth and development assessments, and any associated congenital anomalies.

Common Clinical Scenarios

Management of a newborn with renal agenesis, follow-up for a child diagnosed with polycystic kidney disease, and evaluation of urinary tract anomalies.

Billing Considerations

Consideration of growth parameters and developmental milestones in pediatric patients, as well as the psychosocial impact on families.

Genetics

Documentation Requirements

Genetic testing results, family history of renal diseases, and any syndromic associations.

Common Clinical Scenarios

Genetic counseling for families with a history of polycystic kidney disease, evaluation of syndromic conditions associated with renal anomalies.

Billing Considerations

Understanding the inheritance patterns and implications for family members, as well as the need for potential prenatal testing.

Coding Guidelines

Inclusion Criteria

Use Q61.8 When
  • Follow ICD
  • CM guidelines for coding congenital malformations, ensuring specificity in documentation and coding of associated conditions
  • Use additional codes to capture any related anomalies or complications

Exclusion Criteria

Do NOT use Q61.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

50360CPT Code

Kidney transplant

Clinical Scenario

Used for patients with end-stage renal disease due to congenital anomalies.

Documentation Requirements

Detailed medical history, indication for transplant, and pre-operative evaluations.

Specialty Considerations

Pediatric nephrology considerations for donor and recipient matching.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these complex cases. It has also facilitated better data collection for research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these complex cases. It has also facilitated better data collection for research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding congenital conditions, improving the ability to track and manage these complex cases. It has also facilitated better data collection for research and quality improvement initiatives.

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 documentation is needed to support coding for Q61.8?

Documentation should include a clear diagnosis of the specific cystic kidney disease, any associated congenital anomalies, imaging studies, and genetic testing results when applicable. Detailed clinical notes that outline the patient's history and management plan are also essential.