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ICD-10-CM Code Q61.3
Polycystic kidney, unspecified

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
POA Exempt
POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.
| ICD-10 from 2011 - 2016

Q61.3 is a billable ICD code used to specify a diagnosis of polycystic kidney, unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

POA Indicators on CMS form 4010A are as follows:

IndicatorMeaningCMS Will Pay CC/MCC DRG Costs
YDiagnosis was present at time of inpatient admissionYes
NDiagnosis was not present at time of inpatient admissionNo
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.No
WClinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission.Yes
1Exempt from POA reportingNo


The ICD code Q61 is used to code Autosomal dominant polycystic kidney disease

Autosomal dominant polycystic kidney disease (ADPKD, autosomal dominant PKD or adult-onset PKD) is the most prevalent, potentially lethal, monogenic human disorder. It is associated with large interfamilial and intrafamilial variability, which can be explained to a large extent by its genetic heterogeneity and modifier genes. It is also the most common of the inherited cystic kidney diseases — a group of disorders with related but distinct pathogenesis, characterized by the development of renal cysts and various extrarenal manifestations, which in case of ADPKD include cysts in other organs, such as the liver, seminal vesicles, pancreas, and arachnoid membrane, as well as other abnormalities, such as intracranial aneurysms and dolichoectasias, aortic root dilatation and aneurysms, mitral valve prolapse, and abdominal wall hernias. Over 50% of patients with ADPKD eventually develop end stage kidney disease and require dialysis or kidney transplantation. ADPKD is estimated to affect at least 1 in every 1000 individuals worldwide, making this disease the most common inherited kidney disorder with a diagnosed prevalence of 1:2000 and incidence of 1:3000-1:8000 in a global scale.

Specialty: Medical Genetics
MeSH Code: D016891
ICD 9 Code: 753.1

Polycystic kidneys

Source: Wikipedia

MS-DRG Mapping

  • DRG Group #698-700 - Other kidney and urinary tract diagnoses with MCC.
  • DRG Group #698-700 - Other kidney and urinary tract diagnoses with CC.
  • DRG Group #698-700 - Other kidney and urinary tract diagnoses without CC or MCC.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Polycystic kidney, unspecified type (exact match)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 753.12 was previously used, Q61.3 is the appropriate modern ICD10 code.


Parent Code: Q61 - Cystic kidney disease

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q613