R31 - Hematuria
|Status:||Not Valid for Submission|
R31 is a non-specific and non-billable ICD-10 code code, consider using a code with a higher level of specificity for a diagnosis of hematuria. The code is not specific and is NOT valid for the year 2023 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
- 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.
Specific Coding for Hematuria
Non-specific codes like R31 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for hematuria:
- BILLABLE CODE - Use R31.0 for Gross hematuria
- BILLABLE CODE - Use R31.1 for Benign essential microscopic hematuria
- NON-BILLABLE CODE - R31.2 for Other microscopic hematuria
- BILLABLE CODE - Use R31.21 for Asymptomatic microscopic hematuria
- BILLABLE CODE - Use R31.29 for Other microscopic hematuria
- BILLABLE CODE - Use R31.9 for Hematuria, unspecified
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to this diagnosis code:
Type 1 ExcludesType 1 Excludes
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.
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. It swells into a round shape when it is full and gets smaller when empty. If your urinary system is healthy, your bladder can hold up to 16 ounces (2 cups) of urine comfortably for 2 to 5 hours.
You may have problems with urination if you have:
- Kidney failure
- Urinary tract infections
- An enlarged prostate
- Bladder control problems like incontinence, overactive bladder, or interstitial cystitis
- A blockage that prevents you from emptying your bladder
Some conditions may also cause you to have blood or protein in your urine. If you have a urinary problem, see your health care provider. Urinalysis and other urine tests can help to diagnose the problem. Treatment depends on the cause.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]
Hematuria (Blood in the Urine)Discusses the conditions that may lead to blood in the urine. Lists diagnostic tests that may be required to find the cause of hematuria.
[Learn More in MedlinePlus]
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)