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ICD-10 Guide
ICD-10 CodesQ61.02

Q61.02

Billable

Congenital multiple renal cysts

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

Code Description

ICD-10 Q61.02 is a billable code used to indicate a diagnosis of congenital multiple renal cysts.

Key Diagnostic Point:

Congenital multiple renal cysts refer to a condition characterized by the presence of numerous cysts in one or both kidneys, which can lead to renal dysfunction and other complications. This condition is often associated with genetic syndromes such as autosomal dominant polycystic kidney disease (ADPKD) or can occur as an isolated anomaly. The cysts are fluid-filled sacs that can vary in size and number, potentially leading to hypertension, urinary tract infections, and renal failure. Diagnosis typically involves imaging studies such as ultrasound or MRI, which can reveal the extent of cyst formation. Management may include monitoring renal function, managing complications, and in severe cases, renal replacement therapy. Understanding the underlying genetic factors is crucial, as congenital multiple renal cysts can be part of broader syndromic presentations, necessitating a multidisciplinary approach to care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of renal cysts
  • Potential association with genetic syndromes
  • Need for imaging studies for accurate diagnosis
  • Differentiation from other renal conditions

Audit Risk Factors

  • Inadequate documentation of imaging studies
  • Failure to note associated syndromic conditions
  • Misclassification of cystic conditions
  • Lack of genetic counseling documentation

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed pediatric history, including prenatal factors and family history of renal disease.

Common Clinical Scenarios

Infants presenting with abdominal distension or hypertension; children with recurrent urinary tract infections.

Billing Considerations

Consideration of growth and development impacts due to renal dysfunction.

Genetics

Documentation Requirements

Genetic testing results, family pedigree, and counseling notes.

Common Clinical Scenarios

Families seeking genetic counseling after a diagnosis of congenital renal cysts.

Billing Considerations

Understanding the inheritance patterns and implications for family members.

Coding Guidelines

Inclusion Criteria

Use Q61.02 When
  • Coders should adhere to the official ICD
  • CM guidelines for congenital malformations, ensuring accurate documentation of the condition's nature, associated anomalies, and any relevant family history

Exclusion Criteria

Do NOT use Q61.02 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

Indication for ultrasound and findings.

Specialty Considerations

Pediatric specialists should ensure imaging is appropriate for age.

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 for congenital renal 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 for congenital renal anomalies.

Reimbursement & Billing Impact

reimbursement processes for congenital renal 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 is the significance of coding congenital multiple renal cysts accurately?

Accurate coding is essential for appropriate management, reimbursement, and understanding the genetic implications for the patient and family. It ensures that patients receive the necessary follow-up care and interventions.