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ICD-10-CM Code Q61.5
Medullary cystic kidney

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

Q61.5 is a billable ICD code used to specify a diagnosis of medullary cystic kidney. 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 Q615 is used to code Medullary cystic kidney disease

Medullary cystic kidney disease (MCKD) is an autosomal dominant kidney disorder characterized by tubulointerstitial sclerosis leading to end-stage renal disease. While the name is misleading, recent research has shown that the presence cysts is not pathognomonic of the disease. For this reason, it has been recently referred as the more accurate, medullary kidney disease. Importantly, if cysts are found in the medullary collecting ducts they can result in a shrunken kidney, unlike that of polycystic kidney disease. There are two known forms medullary cystic kidney disease, MKD1 and MKD2

Specialty: Medical Genetics
ICD 9 Code: 753.16
Source: Wikipedia

Coding Notes for Q61.5 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Nephronopthisis
Sponge kidney NOS

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.

Related Concepts SNOMET-CT

  • Medullary sponge kidney (disorder)

ICD-10-CM Alphabetical Index References for 'Q61.5 - Medullary cystic kidney'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code Q61.5. Click on any term below to browse the alphabetical index.

Nephronophthisis (Q61.5)
Medullary cystic kidney (Q61.5)

Equivalent ICD-9 Codes GENERAL EQUIVALENCE MAPPINGS (GEM)

Medullary cystic kidney (approximate match)
Medullary sponge kidney (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code Q61.5 and a single ICD9 code, 753.17 is an approximate match for comparison and conversion purposes.


Parent Code: Q61 - Cystic kidney disease

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/Q615