Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesCongenital malformations of the urinary systemICD-10-CM q60-renal-agenesis-and-reduction-defects
    Ask Trek AI about this page

    ICD-10-CM Code For Renal Agenesis And Other Reduction Defects Of Kidney: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group Q60 includes congenital reduction defects of the kidney such as renal agenesis, renal hypoplasia, and other developmental anomalies resulting in absent or reduced renal tissue. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving congenital absence or underdevelopment of one or both kidneys, capturing organ involvement and disease severity relevant to neonatal care, pediatric nephrology, and prenatal findings. Accurate coding within the ICD-10-CM Q60 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Renal Agenesis And Other Reduction Defects Of Kidney: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM Q60: Renal Agenesis And Other Reduction Defects Of Kidney Overview

    This group includes congenital reduction defects of the kidney such as renal agenesis, hypoplasia, and other developmental anomalies affecting renal tissue. These diagnoses target the genitourinary system and reflect structural absence or underdevelopment of one or both kidneys. Accurate coding matters for reimbursement because it documents congenital severity and organ involvement that influence care needs and payment decisions.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a patient is documented with a congenital absence or reduced development of one or both kidneys identified prenatally, at birth, or later in life. These codes apply when clinical, imaging, or surgical findings confirm renal agenesis, hypoplasia, or other reduction defects and laterality is specified.

    ICD-10-CM Codes

    7 rows

    ICD-10-CM CodeDescription
    Q60.0Renal agenesis, unilateral
    Q60.1Renal agenesis, bilateral
    Q60.2Renal agenesis, unspecified
    Q60.3Renal hypoplasia, unilateral
    Q60.4Renal hypoplasia, bilateral
    Q60.5Renal hypoplasia, unspecified
    Q60.6Potter's syndrome

    DRG Codes

    3 rows

    DRG CodeDescription
    698Other Kidney and Urinary Tract Diagnoses with MCC
    699Other Kidney and Urinary Tract Diagnoses with CC
    700Other Kidney and Urinary Tract Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • A newborn infant delivered at term is noted on initial physical exam and renal ultrasound to have absence of one kidney; prenatal ultrasounds suggested unilateral renal absence but postnatal imaging confirms a single functioning kidney with otherwise normal bladder and contralateral renal anatomy. The infant is referred to pediatric nephrology for baseline renal function testing and growth monitoring; a congenital unilateral renal agenesis code is assigned to document the birth defect and guide follow-up. Typical codes: Q60.1
    • A prenatal care patient undergoes second‑trimester obstetric ultrasound that identifies bilateral renal agenesis with oligohydramnios and associated incompatible-with-life findings prompting counseling and delivery planning. Because both kidneys are absent and this has major implications for prognosis, a bilateral renal agenesis code is used on the maternal and fetal records to capture the congenital reduction defect identified in utero. Typical codes: Q60.0
    • An adolescent with a history of previously diagnosed hypoplastic solitary kidney presents for evaluation of recurrent urinary tract infections and progressive proteinuria; imaging now shows the single kidney is hypoplastic with compensatory changes of the renal pelvis. The visit documents the congenital reduction defect as a comorbidity contributing to renal dysfunction and recurrent infections; a renal hypoplasia/reduction defect code is assigned to reflect the underlying congenital anomaly affecting management. Typical codes: Q60.2, Q60.6

    Related Codes

    Q61-CYSTIC-KIDNEY-DISEASE

    ICD-10-CM Code For Cystic Kidney Disease: Group Overview

    Q62-CONGENITAL-OBSTRUCTIVE-DEFECTS-RENAL-PELVIS-URETER

    ICD-10-CM Code For Congenital Obstructive Defects Of Renal Pelvis And Congenital Malformations Of Ureter: Group Overview

    Q63-OTHER-CONGENITAL-MALFORMATIONS-OF-KIDNEY

    ICD-10-CM Code For Other Congenital Malformations Of Kidney: Group Overview

    Q64-OTHER-CONGENITAL-MALFORMATIONS-OF-URINARY-SYSTEM

    ICD-10-CM Code For Other Congenital Malformations Of Urinary System: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.