Q61.3
Q61.3: Polycystic kidney, unspecified
Billable / specific codeICD-10-CMPOA exemptunspecified
Q61.3 is a billable, specific ICD-10-CM code for polycystic kidney, unspecified. It is valid for submission on a claim.
Check Q61.3 with the rest of the claim: free scrubberOther codes that can never be billed with Q61.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q61.3 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56805Billing and Coding: Magnetic Resonance Angiography (MRA)
- A57643Billing and Coding: Lab: Cystatin C Measurement
Alphabetic index entries that lead here
- Nephritis, nephritic›polycystic
- Polycystic›degeneration, kidney
- Polycystic›kidney
- Degeneration, degenerative›kidney›polycystic
- Disease, diseased›kidney›polycystic
- Disease, diseased›polycystic›kidney or renal
- Disease, diseased›renal›polycystic(congenital)
- Cyst›kidney›more than one›specified as polycystic
- Cyst›congenital NEC›kidney›more than one›specified as polycystic
Code history
Unchanged in every release from FY2024 to FY2027.