Is Q61 a billable ICD-10-CM code?

No. Q61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does Q61 sit in the tabular list?

Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).

What cannot be coded together with Q61?

Q61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q61

Q61 — Cystic kidney disease

Non-billable headerICD-10-CM

Q61 is a non-billable header ICD-10-CM code for cystic kidney disease. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

acquired cyst of kidney (N28.1)
Potter's syndrome (Q60.6)

Other codes that can never be billed with Q61

These codes carry an Excludes1 note pointing at Q61. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q61 alone.

N28.1Cyst of kidney, acquired
Q01Encephalocele
Q02Microcephaly
Q61.4Renal dysplasia
Q85.8Other phakomatoses, not elsewhere classified

Risk adjustment

Q61 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.

Code to one of these instead Q61

8 child codes. Green means billable.

Questions about Q61

Is Q61 a billable ICD-10-CM code?: No. Q61 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does Q61 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).
What cannot be coded together with Q61?: Q61 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.