2026 ICD-10-CM Diagnosis Code R31.0Gross hematuria

ICD-10-CM Codes›R00–R99›R30-R39›R31

ICD-10-CM R31.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R31.0 is a billable ICD-10-CM diagnosis code for gross hematuria. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 695 through 696. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as blood clots in urine. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Hematuria.

Code Identity

ICD-10-CM Code
R31.0
Billable Status
Yes — Valid for Submission
Code Describes
Gross hematuria
Short Description
Gross hematuria
Same as the full description in the CMS dataset.
Parent Code
R31
Hematuria

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR30-R39Symptoms and signs involving the genitourinary system
CategoryR31Hematuria
This CodeR31.0Gross hematuria

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Blood clots in urine
  • Clot hematuria
  • Frank hematuria

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hematuria
      • gross

Clinical ClassificationClinical

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

CCSR GEN009
Hematuria
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Convert R31.0 to ICD-9-CMHistory

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

ICD-9-CM
599.71 Gross hematuria
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R31.0Overview

Is R31.0 (Hematuria) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report gross hematuria on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R31.0 group to?

When gross hematuria is the principal diagnosis on an inpatient stay, it groups to MS-DRG 695, 696, with relative weights from 0.6890 to 1.1438 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R31.0 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the gross hematuria is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R31.0?

Under the General Equivalence Mappings, gross hematuria converts to ICD-9-CM 599.71 (gross hematuria). The mapping is a direct match.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.