Is Q61.4 a billable ICD-10-CM code?

Yes. Q61.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does Q61.4 sit in the tabular list?

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

What cannot be coded together with Q61.4?

Q61.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

Q61.4

Q61.4 — Renal dysplasia

Billable / specific codeICD-10-CMPOA exempt

Q61.4 is a billable, specific ICD-10-CM code for renal dysplasia. It is valid for submission on a claim.

Excludes1 — never code together

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

polycystic kidney disease (Q61.11-Q61.3)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Multicystic dysplastic kidney
Multicystic kidney (development)
Multicystic kidney disease
Multicystic renal dysplasia

Risk adjustment

Q61.4 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

Q61.4 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 Q61.4 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 Q61.4.

Multicystic kidney(development)
Dysplasia›kidney
Dysplasia›renal
Disease, diseased›kidney›multicystic
Dysplasia›kidney›multicystic
Dysplasia›renal›multicystic

Related codes at this level

Codes that share Q61. If Q61.4 is not quite right, the correct code is usually one of these.

Questions about Q61.4

Is Q61.4 a billable ICD-10-CM code?: Yes. Q61.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does Q61.4 sit in the tabular list?: Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).
What cannot be coded together with Q61.4?: Q61.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.