2020 ICD-10-CM Diagnosis Code Q61.3

Polycystic kidney, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • Q61.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM Q61.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of Q61.3 - other international versions of ICD-10 Q61.3 may differ.
The following code(s) above Q61.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Q61.3:
  • Q00-Q99
    2020 ICD-10-CM Range Q00-Q99

    Congenital malformations, deformations and chromosomal abnormalities

    Note
    • Codes from this chapter are not for use on maternal records
    Type 2 Excludes
    • inborn errors of metabolism (E70-E88)
    Congenital malformations, deformations and chromosomal abnormalities
  • Q61
    ICD-10-CM Diagnosis Code Q61

    Cystic kidney disease

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acquired cyst of kidney (N28.1)
    • Potter's syndrome (Q60.6)
    Cystic kidney disease
Approximate Synonyms
  • Congenital cystic kidney disease
  • Multiple congenital cysts of kidney
  • Polycystic kidney disease
Clinical Information
  • A usually autosomal dominant and less frequently autosomal recessive genetic disorder characterized by the presence of numerous cysts in the kidneys leading to end-stage renal failure. The autosomal dominant trait is associated with abnormalities on the short arm of chromosome 16. Symptoms in patients with the autosomal dominant trait usually appear at middle age and include abdominal pain, hematuria, and high blood pressure. Patients may develop brain aneurysms and liver cysts. Patients with the autosomal recessive trait present with progressive renal failure early in life and symptoms resulting from hepatic fibrosis. The autosomal recessive trait is associated with abnormalities of chromosome 6. Polycystic kidney disease may also result as a side effect in patients on renal dialysis.
  • Hereditary diseases that are characterized by the progressive expansion of a large number of tightly packed cysts within the kidney; there is an autosomal recessive form appearing in childhood and a later appearing autosomal dominant form; a similar acquired disease sometimes accompanies end-stage renal disease.
  • Hereditary diseases that are characterized by the progressive expansion of a large number of tightly packed cysts within the kidneys. They include diseases with autosomal dominant and autosomal recessive inheritance.
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Q61.3 is considered exempt from POA reporting.
ICD-10-CM Q61.3 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 698 Other kidney and urinary tract diagnoses with mcc
  • 699 Other kidney and urinary tract diagnoses with cc
  • 700 Other kidney and urinary tract diagnoses without cc/mcc

Convert Q61.3 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to Q61.3:
  • Type 1 Excludes: Q61.4
    ICD-10-CM Diagnosis Code Q61.4

    Renal dysplasia

      2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
    Applicable To
    • Multicystic dysplastic kidney
    • Multicystic kidney (development)
    • Multicystic kidney disease
    • Multicystic renal dysplasia
    Type 1 Excludes

Diagnosis Index entries containing back-references to Q61.3:
  • Cyst (colloid) (mucous) (simple) (retention)
    • congenital NEC Q89.8
      ICD-10-CM Diagnosis Code Q89.8

      Other specified congenital malformations

        2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
      Use Additional
      • code(s) to identify all associated manifestations
      • kidney Q61.00
        ICD-10-CM Diagnosis Code Q61.00

        Congenital renal cyst, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
        Applicable To
        • Cyst of kidney NOS (congenital)
    • kidney (acquired) N28.1
      ICD-10-CM Diagnosis Code N28.1

      Cyst of kidney, acquired

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cyst (multiple) (solitary) of kidney (acquired)
      Type 1 Excludes
      • cystic kidney disease (congenital) (Q61.-)
  • Degeneration, degenerative
    • kidney N28.89
      ICD-10-CM Diagnosis Code N28.89

      Other specified disorders of kidney and ureter

        2016 2017 2018 2019 2020 Billable/Specific Code
  • Disease, diseased - see also Syndrome
    • kidney (functional) (pelvis) N28.9
      ICD-10-CM Diagnosis Code N28.9

      Disorder of kidney and ureter, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Nephropathy NOS
      • Renal disease (acute) NOS
      • Renal insufficiency (acute)
      Type 1 Excludes
      • chronic renal insufficiency (N18.9)
      • unspecified nephritic syndrome (N05.-)
    • polycystic
    • renal (functional) (pelvis) N28.9
      - see also Disease, kidney
      ICD-10-CM Diagnosis Code N28.9

      Disorder of kidney and ureter, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Nephropathy NOS
      • Renal disease (acute) NOS
      • Renal insufficiency (acute)
      Type 1 Excludes
      • chronic renal insufficiency (N18.9)
      • unspecified nephritic syndrome (N05.-)
  • Nephritis, nephritic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic) N05.9
    ICD-10-CM Diagnosis Code N05.9

    Unspecified nephritic syndrome with unspecified morphologic changes

      2016 2017 2018 2019 2020 Billable/Specific Code
  • Polycystic (disease)

ICD-10-CM Codes Adjacent To Q61.3
Q60.6 Potter's syndrome
Q61 Cystic kidney disease
Q61.0 Congenital renal cyst
Q61.00 …… unspecified
Q61.01 Congenital single renal cyst
Q61.02 Congenital multiple renal cysts
Q61.1 Polycystic kidney, infantile type
Q61.11 Cystic dilatation of collecting ducts
Q61.19 Other polycystic kidney, infantile type
Q61.2 Polycystic kidney, adult type
Q61.3 Polycystic kidney, unspecified
Q61.4 Renal dysplasia
Q61.5 Medullary cystic kidney
Q61.8 Other cystic kidney diseases
Q61.9 Cystic kidney disease, unspecified
Q62 Congenital obstructive defects of renal pelvis and congenital malformations of ureter
Q62.0 Congenital hydronephrosis
Q62.1 Congenital occlusion of ureter
Q62.10 …… unspecified
Q62.11 ……opelvic junction
Q62.12 ……ovesical orifice

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.