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

Q60-Q64 — Congenital malformations of the urinary system

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.

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

Codes in range

63

No clinical group

6

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

57 of the 63 codes in Q60-Q64 group to MMTA - Other. A further 6 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in Q60-Q64

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

Every code in Q60-Q64

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
Q600Renal agenesis, unilateralACan lead a claim
Q601Renal agenesis, bilateralACan lead a claim
Q602Renal agenesis, unspecifiedNoneCannot lead a claim
Q603Renal hypoplasia, unilateralACan lead a claim
Q604Renal hypoplasia, bilateralACan lead a claim
Q605Renal hypoplasia, unspecifiedNoneCannot lead a claim
Q606Potter's syndromeACan lead a claim
Q6100Congenital renal cyst, unspecifiedACan lead a claim
Q6101Congenital single renal cystACan lead a claim
Q6102Congenital multiple renal cystsACan lead a claim
Q6111Cystic dilatation of collecting ductsACan lead a claim
Q6119Other polycystic kidney, infantile typeACan lead a claim
Q612Polycystic kidney, adult typeACan lead a claim
Q613Polycystic kidney, unspecifiedACan lead a claim
Q614Renal dysplasiaACan lead a claim
Q615Medullary cystic kidneyACan lead a claim
Q618Other cystic kidney diseasesACan lead a claim
Q619Cystic kidney disease, unspecifiedNoneCannot lead a claim
Q620Congenital hydronephrosisACan lead a claim
Q6210Congenital occlusion of ureter, unspecifiedACan lead a claim
Q6211Congenital occlusion of ureteropelvic junctionACan lead a claim
Q6212Congenital occlusion of ureterovesical orificeACan lead a claim
Q622Congenital megaureterACan lead a claim
Q6231Congenital ureterocele, orthotopicACan lead a claim
Q6232CecoureteroceleACan lead a claim
Q6239Other obstructive defects of renal pelvis and ureterACan lead a claim
Q624Agenesis of ureterACan lead a claim
Q625Duplication of ureterACan lead a claim
Q6260Malposition of ureter, unspecifiedACan lead a claim
Q6261Deviation of ureterACan lead a claim
Q6262Displacement of ureterACan lead a claim
Q6263Anomalous implantation of ureterACan lead a claim
Q6269Other malposition of ureterACan lead a claim
Q627Congenital vesico-uretero-renal refluxACan lead a claim
Q628Other congenital malformations of ureterACan lead a claim
Q630Accessory kidneyACan lead a claim
Q631Lobulated, fused and horseshoe kidneyACan lead a claim
Q632Ectopic kidneyACan lead a claim
Q633Hyperplastic and giant kidneyACan lead a claim
Q638Other specified congenital malformations of kidneyACan lead a claim
Q639Congenital malformation of kidney, unspecifiedNoneCannot lead a claim
Q640EpispadiasACan lead a claim
Q6410Exstrophy of urinary bladder, unspecifiedACan lead a claim
Q6411Supravesical fissure of urinary bladderACan lead a claim
Q6412Cloacal exstrophy of urinary bladderACan lead a claim
Q6419Other exstrophy of urinary bladderACan lead a claim
Q642Congenital posterior urethral valvesACan lead a claim
Q6431Congenital bladder neck obstructionACan lead a claim
Q6432Congenital stricture of urethraACan lead a claim
Q6433Congenital stricture of urinary meatusACan lead a claim
Q6439Other atresia and stenosis of urethra and bladder neckACan lead a claim
Q644Malformation of urachusACan lead a claim
Q645Congenital absence of bladder and urethraACan lead a claim
Q646Congenital diverticulum of bladderACan lead a claim
Q6470Unspecified congenital malformation of bladder and urethraNoneCannot lead a claim
Q6471Congenital prolapse of urethraACan lead a claim
Q6472Congenital prolapse of urinary meatusACan lead a claim
Q6473Congenital urethrorectal fistulaACan lead a claim
Q6474Double urethraACan lead a claim
Q6475Double urinary meatusACan lead a claim
Q6479Other congenital malformations of bladder and urethraACan lead a claim
Q648Other specified congenital malformations of urinary systemACan lead a claim
Q649Congenital malformation of urinary system, unspecifiedNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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