R31 is a non-billable ICD-10-CM category code for hematuria, so it cannot be submitted on claims. Use a more specific code from this category instead, such as R31.0, R31.1, R31.21, and R31.29. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established.
Code Identity
Code Classification
Specific Coding for HematuriaOverview
Non-specific codes like R31 require more characters. Use one of these billable codes instead:
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
- hematuria included with underlying conditions, such as:
- acute cystitis with hematuria N30.01
- recurrent and persistent hematuria in glomerular diseases N02
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Clinical InformationClinical
Hematuria
presence of blood in the urine.Nephritis, Hereditary
a group of inherited conditions characterized initially by hematuria and slowly progressing to renal insufficiency. the most common form is the alport syndrome (hereditary nephritis with hearing loss) which is caused by mutations in genes for type iv collagen and defective glomerular basement membrane.
Patient EducationClinical
Urine and Urination
Your kidneys make urine by filtering wastes and extra water from your blood. The waste is called urea. Your blood carries it to the kidneys. From the kidneys, urine travels down two thin tubes called ureters to the bladder. The bladder stores urine until you are ready to urinate.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About R31Overview
Is R31 (Hematuria) a billable code?
No. This is a category header that groups the codes for hematuria, and headers cannot be submitted on claims. Claims for hematuria need a more specific code from this category, such as R31.0, R31.1, and R31.21.
Can R31 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the hematuria is established, that condition takes the principal position instead.
