Q61.5
Q61.5: Medullary cystic kidney
Billable / specific codeICD-10-CMPOA exempt
Q61.5 is a billable, specific ICD-10-CM code for medullary cystic kidney. It is valid for submission on a claim.
Check Q61.5 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Nephronophthisis
- Sponge kidney NOS
Other codes that can never be billed with Q61.5
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
Q61.5 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
- Medullary cystic kidney
- Nephronophthisis
- Cystic›medullary, kidney
- Sponge›kidney(medullary)
- Cystic›kidney›medullary
Code history
Unchanged in every release from FY2024 to FY2027.