ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N28.1

Billable / Specific

Cyst of kidney, acquired

N28
Block
1
Synonyms
12
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM N28.1

ICD-10-CM code N28.1 represents Cyst of kidney, acquired. This is a billable/specific code in the Genitourinary System chapter (block N28). The 2026 edition of ICD-10-CM N28.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N28.1. Per CMS ICD-10-CM Tabular 2026.

  • Cyst (multiple) (solitary) of kidney (acquired)

Type 1 Excludes

Pure excludes, these codes can never be coded together with N28.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • cystic kidney disease (congenital) (Q61.-)

Medicare LCD Coverage for N28.1

Local Coverage Determinations (LCDs) from CMS MACs that list N28.1 as a covered diagnosis.

12 LCDs

Showing top 10 of 12 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Retroperitoneal Ultrasound
Article ID: 55336, Effective: 2025-10-01 00:00:00, 797 covered, 0 non-covered
CPT 76775 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N28.1.

3 policies

2 Medicare

Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421

1 Aetna

Prolotherapy and Sclerotherapy
Policy ID: CPB-0207

CPT Codes Commonly Billed with N28.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N28.1

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert N28.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N28.1 5932 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N28.1, Billing FAQ

Is ICD-10 code N28.1 billable? +

Yes, N28.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to N28.1? +

ICD-10 N28.1 includes: Cyst (multiple) (solitary) of kidney (acquired).

What codes are Type 1 Excludes for N28.1? +

Type 1 Excludes (never code together with N28.1): cystic kidney disease (congenital) (Q61.-)

What ICD-9 codes does N28.1 map to? +

Per CMS GEMs, N28.1 maps to ICD-9 codes: 5932. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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