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Q61.11 vs Q61.4

Q61.11 (Cystic dilatation of collecting ducts) compared with Q61.4 (Renal dysplasia), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. Q61.4 carries an Excludes1 note covering Q61.11: “polycystic kidney disease (Q61.11-Q61.3)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

Q61.11Cystic dilatation of collecting ductsQ61.4Renal dysplasia
Billing statusBillableBillable
ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionCystic dilatation of collecting ducts is a billable ICD-10-CM diagnosis code (Q61.11).Renal dysplasia is a billable ICD-10-CM diagnosis code (Q61.4).
Includes
Multicystic dysplastic kidney
Multicystic kidney (development)
Multicystic kidney disease
Multicystic renal dysplasia

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources