2027 ICD-10-CM Diagnosis Code Q60.5Renal hypoplasia, unspecified

ICD-10-CM Codes›Q00-Q99›Q60-Q64›Q60

ICD-10-CM Q60.5
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

Q60.5 is a billable ICD-10-CM diagnosis code for renal hypoplasia, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 698 through 700. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 8 closely related codes. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Genitourinary congenital anomalies.

Code Identity

ICD-10-CM Code
Q60.5
Billable Status
Yes — Valid for Submission
Code Describes
Renal hypoplasia, unspecified
Short Description
Renal hypoplasia, unspecified
Same as the full description in the CMS dataset.
Parent Code
Q60
Renal agenesis and other reduction defects of kidney

Code Classification

ChapterQ00-Q99Congenital malformations, deformations and chromosomal abnormalities
SectionQ60-Q64Congenital malformations of the urinary system
CategoryQ60Renal agenesis and other reduction defects of kidney
This CodeQ60.5Renal hypoplasia, unspecified

Present on Admission (POA)Billing

Q60.5 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review the other POA exempt codes in Congenital malformations of the urinary system (Q60-Q64).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Ask-Upmark kidney
  • Atrophy of kidney
  • Congenital hypoplasia of kidney
  • Congenital hypoplasia of renal papilla
  • Congenital hypoplasia of renal pelvis
  • Congenital hypoplasia of renal pyramid structure
  • Congenital renal atrophy
  • Congenital small renal papilla
  • Familial hypoplastic, glomerulocystic kidney
  • Oligomeganephronic hypoplasia of kidney
  • Renal agenesis and dysgenesis
  • Renal coloboma syndrome
  • Renal tubular defect
  • Renal tubular dysgenesis
  • Renal tubular dysgenesis caused by drug
  • Renal tubular dysgenesis due to twin to twin transfusion

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to Q60.5: its own notes plus those printed at Q60 and Chapter 17. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From Q60 Renal agenesis and other reduction defects of kidney applies to 7 codes
  • congenital absence of kidney
  • congenital atrophy of kidney
  • infantile atrophy of kidney

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • inborn errors of metabolism (E70-E88)

Notes

General instructions on how these codes are used.

From Chapter 17 (Q00-QA1) Congenital malformations, deformations and chromosomal abnormalities applies to 900 codes
  • Codes from this chapter are not for use on maternal records

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MAL003
Genitourinary congenital anomalies
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Kidney Diseases

You have two kidneys, each about the size of your fist. They are near the middle of your back, just below the rib cage. Inside each kidney there are about a million tiny structures called nephrons. They filter your blood. They remove wastes and extra water, which become urine. The urine flows through tubes called ureters.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Q60.5 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
753.0 Renal agenesis
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About Q60.5Overview

What is the ICD-10 code for renal hypoplasia, unspecified?

The ICD-10-CM code for renal hypoplasia, unspecified is Q60.5 (sometimes written as Q605). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is Q60.5 (Renal agenesis and other reduction defects of kidney) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report renal hypoplasia, unspecified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does Q60.5 group to?

When renal hypoplasia, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 699, 698, 700, with relative weights from 0.6740 to 1.6400 depending on complications. Higher weights mean higher Medicare reimbursement.

Is Q60.5 a CC or MCC?

CMS lists Q60.5 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 8 closely related codes in its exclusion list.

Is Q60.5 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for renal hypoplasia, unspecified on inpatient claims. The code appears in the Congenital malformations of the urinary system (Q60-Q64) range of the CMS exempt list.