ICD-10 Q61.01
Billable / Specific CCCongenital single renal cyst
About ICD-10-CM Q61.01
ICD-10-CM code Q61.01 represents Congenital single renal cyst. This is a billable/specific code in the Congenital Malformations chapter (block Q61). The 2026 edition of ICD-10-CM Q61.01 became effective on October 1, 2025.
Coding Tips for Q61.01
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Q61.01 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Congenital single renal cyst. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for Q61.01
Local Coverage Determinations (LCDs) from CMS MACs that list Q61.01 as a covered diagnosis.
Showing top 10 of 19 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Q61.01.
4 Medicare
CPT Codes Commonly Billed with Q61.01
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 82610 CMS LCD: Billing and Coding: Lab: Cystatin C Measurement CMS LCD
Convert Q61.01 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Q61.01 | 75311 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Q61.01
Other codes in section Q60-Q64 (Congenital malformations of the urinary system).
ICD-10 Q61.01, Billing FAQ
Is ICD-10 code Q61.01 billable? +
Yes, Q61.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is Q61.01 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with Q61.01? +
Procedures frequently paired with Q61.01 include: 82610.
What ICD-9 codes does Q61.01 map to? +
Per CMS GEMs, Q61.01 maps to ICD-9 codes: 75311. 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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