Not Valid for Submission
R31 is a "header" nonspecific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of hematuria. The code is NOT valid for the year 2021 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.
Specific Coding for Hematuria
Header 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:
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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R31:
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.
- 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.
Information for Patients
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
- Clean catch urine sample (Medical Encyclopedia)
- Frequent or urgent urination (Medical Encyclopedia)
- RBC urine test (Medical Encyclopedia)
- Urinalysis (Medical Encyclopedia)
- Urinary catheters (Medical Encyclopedia)
- Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
- Urinating more at night (Medical Encyclopedia)
- Urination - difficulty with flow (Medical Encyclopedia)
- Urination - painful (Medical Encyclopedia)
- Urine - bloody (Medical Encyclopedia)
- Urine 24-hour volume (Medical Encyclopedia)
- Urine odor (Medical Encyclopedia)