October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

Q61 Cystic kidney disease

All 11 codes in the Q61 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

11

Can lead a claim

10

Cannot lead a claim

1

What CMS assigns to Q61

10 of the 11 codes group to MMTA - Other; 1 is assigned no clinical group. None of the 11 is assigned a comorbidity subgroup. 10 of the 11 can lead a claim.

Every code in Q61

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
Q61.0 Congenital renal cyst
Q61.00Congenital renal cyst, unspecifiedCan lead a claimANone
Q61.01Congenital single renal cystCan lead a claimANone
Q61.02Congenital multiple renal cystsCan lead a claimANone
Q61.1 Polycystic kidney, infantile type
Q61.11Cystic dilatation of collecting ductsCan lead a claimANone
Q61.19Other polycystic kidney, infantile typeCan lead a claimANone
Q61.2Polycystic kidney, adult typeCan lead a claimANone
Q61.3Polycystic kidney, unspecifiedCan lead a claimANone
Q61.4Renal dysplasiaCan lead a claimANone
Q61.5Medullary cystic kidneyCan lead a claimANone
Q61.8Other cystic kidney diseasesCan lead a claimANone
Q61.9Cystic kidney disease, unspecifiedCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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