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Home/Diagnosis/ICD-10 Coding for Complex Renal Cyst

ICD-10 Coding for Complex Renal Cyst

N28.1
Q61.02
D49.51

Complete ICD-10-CM coding and documentation guide for icd-10 coding for complex renal cyst includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Complex Kidney Cyst
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Key Information: ICD-10 Coding for Complex Renal Cyst

Essential facts and insights about ICD-10 Coding for Complex Renal Cyst

Use ICD-10 code N28.1 for cyst of kidney, acquired, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Cyst of kidney, acquired

Billable Code
N28.1
Billable

Diagnostic Criteria

clinical:
  • • Bosniak classification IIF or higher with imaging evidence.
documentation:
  • • Detailed imaging report with cyst characteristics.

Applicable To

  • • Acquired renal cyst

Important Notes

  • • Ensure documentation includes Bosniak classification and imaging details.

Congenital multiple renal cysts

Billable Code
Q61.02
Billable

Diagnostic Criteria

clinical:
  • • Family history of polycystic kidney disease
  • • Bilateral cysts in pediatric patients

Applicable To

  • • Congenital renal cysts

Important Notes

  • • Document family history and genetic testing results.

Neoplasm of uncertain behavior of kidney

Non-Billable
D49.51
Non-Billable

Diagnostic Criteria

clinical:
  • • Bosniak III/IV cysts without biopsy

Applicable To

  • • Complex cystic mass with enhancing nodule

Important Notes

  • • Ensure imaging reports suggest neoplasm.
Ancillary Codes

Additional codes that may be used with this diagnosis

R31.0

Gross hematuria

Use if hematuria is present with the cyst.

N18.3

Chronic kidney disease, stage 3

Use if GFR is less than 60.

Frequently Asked Questions

What is the ICD-10 code for complex renal cyst?

The ICD-10 code for an acquired complex renal cyst is N28.1. This code is used when imaging confirms complexity, such as septations or wall thickening.

How does Bosniak classification affect renal cyst coding?

Bosniak classification determines the complexity and potential malignancy risk, guiding the choice between codes like N28.1 for acquired cysts and D49.51 for suspected neoplasms.

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