Q61.3 — Polycystic kidney, unspecified
Is Q61.3 billable?
Yes, but Q61.3 is an unspecified code. Q61.3 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, Q61.3 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting Q61.3 — the more specific alternatives are listed below.
Q61.3 at a glance
| Code | Q61.3 |
|---|---|
| Description | Polycystic kidney, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does Q61.3 group to?
Q61.3 sits in MDC 11 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 698Other Kidney and Urinary Tract Diagnoses with MCCmedical
- 699Other Kidney and Urinary Tract Diagnoses with CCmedical
- 700Other Kidney and Urinary Tract Diagnoses without CC/MCCmedical
As a secondary diagnosis, Q61.3 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is Q61.3 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to Q61.3. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Nephritis, nephritic › polycystic (albuminuric) (azotemic) (congenital) (disseminated) (epithelial) (familial) (focal) (granulomatous) (hemorrhagic) (infantile) (nonsuppurative, excretory) (uremic)
- Polycystic › degeneration, kidney (disease)
- Polycystic › kidney (disease)
- Degeneration, degenerative › kidney › polycystic
- Disease, diseased › kidney › polycystic
- Disease, diseased › polycystic › kidney or renal
- Disease, diseased › renal › polycystic
- Cyst › kidney › more than one › specified as polycystic (colloid) (mucous) (simple) (retention)
- Cyst › congenital NEC › kidney › more than one › specified as polycystic (colloid) (mucous) (simple) (retention)
Excludes1 — never code together — inherited from Q61
The conditions below can never be reported together with Q61.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 17
The conditions below are not part of Q61.3, but a patient may have both at the same time. When documentation supports it, Q61.3 and the excluded code may both be reported.
- inborn errors of metabolism (E70-E88)
How long has Q61.3 existed?
Q61.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with Q61.3?
ICD-10-CM declares these codes mutually exclusive with Q61.3 — exactly one of each pair can be correct for a given encounter.