Q62.11 — Congenital occlusion of ureteropelvic junction
Q62.11 is a billable, specific ICD-10-CM code for congenital occlusion of ureteropelvic junction. It is valid for submission on a claim.
Risk adjustment
Q62.11 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
Q62.11 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
- A56802Billing and Coding: Urodynamics
- A57455Billing and Coding: Urodynamics
How Q62.11 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 Q62.11.
- Atresia, atretic›ureteropelvic junction
- Stenosis, stenotic›ureteropelvic junction, congenital
- Stricture›pelviureteric junction(congenital)
- Stricture›ureteropelvic junction(congenital)
- Atresia, atretic›ureter›pelvic junction
- Occlusion, occluded›ureteropelvic junction›congenital
- Hydronephrosis NEC›with›obstruction›ureteropelvic junction(congenital)
Related codes at this level
Codes that share Q62.1. If Q62.11 is not quite right, the correct code is usually one of these.
Questions about Q62.11
- Is Q62.11 a billable ICD-10-CM code?
- Yes. Q62.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does Q62.11 sit in the tabular list?
- Congenital malformations, deformations and chromosomal abnormalities (Q00-QA0), in the block Congenital malformations of the urinary system (Q60-Q64).