Q60.4 — Renal hypoplasia, bilateral
Q60.4 is a billable, specific ICD-10-CM code for renal hypoplasia, bilateral. It is valid for submission on a claim.
Risk adjustment
Q60.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
Q60.4 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
How Q60.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to Q60.4.
- Dysgenesis›renal›bilateral
- Hypoplasia, hypoplastic›kidney›bilateral
- Atrophy, atrophic›kidney›congenital or infantile›bilateral
Related codes at this level
Codes that share Q60. If Q60.4 is not quite right, the correct code is usually one of these.
Questions about Q60.4
- Is Q60.4 a billable ICD-10-CM code?
- Yes. Q60.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q60.4 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).