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.
Check Q61.4 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
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
Other codes that can never be billed with Q61.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N28.1Cyst of kidney, acquired
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q61.4 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
- A57591Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies
- A57643Billing and Coding: Lab: Cystatin C Measurement
Alphabetic index entries that lead here
- Multicystic kidney(development)
- Dysplasia›kidney
- Dysplasia›renal
- Disease, diseased›kidney›multicystic
- Dysplasia›kidney›multicystic
- Dysplasia›renal›multicystic
Code history
Unchanged in every release from FY2024 to FY2027.