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Compare/Q61.9 vs Q85.8

Q61.9 vs Q85.8

Q61.9 (Cystic kidney disease, unspecified) compared with Q85.8 (Other phakomatoses, not elsewhere classified), 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. Q85.8 carries an Excludes1 note covering Q61.9: “Meckel-Gruber syndrome (Q61.9)”

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

Q61.9Cystic kidney disease, unspecifiedQ85.8Other phakomatoses, not elsewhere classified
Billing statusBillableNon-billable header

Report instead: Q85.81, Q85.82, Q85.83, Q85.89

ClassificationQ00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)Q00-Q99 — Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99)
DefinitionCystic kidney disease, unspecified is a billable ICD-10-CM diagnosis code (Q61.9).Other phakomatoses, not elsewhere classified is a non-billable ICD-10-CM category code (Q85.8).
Includes
Meckel-Gruber syndrome

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