Is Q61.11 a billable ICD-10-CM code?

Yes. Q61.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q61.11 sit in the tabular list?

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

Q61.11

Q61.11 — Cystic dilatation of collecting ducts

Billable / specific codeICD-10-CMPOA exempt

Q61.11 is a billable, specific ICD-10-CM code for cystic dilatation of collecting ducts. It is valid for submission on a claim.

Other codes that can never be billed with Q61.11

These codes carry an Excludes1 note pointing at Q61.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading Q61.11 alone.

Q61.4Renal dysplasia

Risk adjustment

Q61.11 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

Q61.11 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A55336Billing and Coding: Retroperitoneal Ultrasound
A56421Billing and Coding: CT of the Abdomen and Pelvis
A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
A57643Billing and Coding: Lab: Cystatin C Measurement

How Q61.11 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 Q61.11.

Cystic›kidney›infantile type NEC›collecting duct dilatation
Degeneration, degenerative›kidney›polycystic›infantile type NEC›collecting duct dilatation
Disease, diseased›kidney›polycystic›childhood type NEC›collecting duct dilatation
Disease, diseased›polycystic›kidney or renal›childhood type NEC›collecting duct dilatation
Disease, diseased›renal›polycystic›childhood type NEC›collecting duct dilatation
Cyst›kidney›more than one›specified as polycystic›infantile type NEC›collecting duct dilation
Cyst›congenital NEC›kidney›more than one›specified as polycystic›infantile type NEC›collecting duct dilation

Related codes at this level

Codes that share Q61.1. If Q61.11 is not quite right, the correct code is usually one of these.

Q61.19Other polycystic kidney, infantile type

Questions about Q61.11

Is Q61.11 a billable ICD-10-CM code?: Yes. Q61.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q61.11 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).