2027 ICD-10-CM Diagnosis Code R34Anuria and oliguria

ICD-10-CM Codes›R00–R99›R30-R39›R34

ICD-10-CM R34
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

R34 is a billable ICD-10-CM diagnosis code for anuria and oliguria. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 673 through 675, 682 through 684. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Genitourinary signs and symptoms.

Code Identity

ICD-10-CM Code
R34
Billable Status
Yes — Valid for Submission
Code Describes
Anuria and oliguria
Short Description
Anuria and oliguria
Same as the full description in the CMS dataset.
Chapter
R30-R39
Symptoms and signs involving the genitourinary system

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR30-R39Symptoms and signs involving the genitourinary system
CategoryR34Anuria and oliguria
This CodeR34Anuria and oliguria

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • 24 hour urine volume - finding
  • 24 hour urine volume below reference range
  • 24 hour urine volume outside reference range
  • Acute renal failure with oliguria
  • Anuria
  • Anuria following procedure
  • Decreased urine output
  • Deficient urine secretion
  • Finding of measures of urine output
  • Oliguria
  • Oliguria following procedure
  • Suppressed urine secretion
  • Urinary loss
  • Urinary volume finding
  • Urine volume measurement finding

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to R34: its own notes plus those printed at Chapter 18. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
  • anuria and oliguria complicating pregnancy (O26.83-)
  • anuria and oliguria complicating the puerperium (O90.49)

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 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Notes

General instructions on how these codes are used.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
  • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
  • The conditions and signs or symptoms included in categories R00-R94 consist of:
  • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
  • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
  • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
  • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
  • (e) cases in which a more precise diagnosis was not available for any other reason;
  • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

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

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name R34, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming R34: they are not reported together with it, unless the two conditions are unrelated.

  • O90.4 Postpartum acute kidney failure
    anuria and oliguria (R34)

Excludes2 1

These codes carry an Excludes2 note naming R34: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block R10-R19 Symptoms and signs involving the digestive system and abdomen
    signs and symptoms involving the urinary system (R30-R39) names R30-R39, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

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

CCSR SYM011
Genitourinary signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Anuria

    absence of urine formation. it is usually associated with complete bilateral ureteral (ureter) obstruction, complete lower urinary tract obstruction, or unilateral ureteral obstruction when a solitary kidney is present.
  • Oliguria

    decreased urine output that is below the normal range. oliguria can be defined as urine output of less than or equal to 0.5 or 1 ml/kg/hr depending on the age.

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 R34 to ICD-9-CMHistory

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

ICD-9-CM
788.5 Oliguria & anuria
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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About R34Overview

What is the ICD-10 code for anuria and oliguria?

The ICD-10-CM code for anuria and oliguria is R34. It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is R34 (Anuria and oliguria) a billable code?

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

What MS-DRG does R34 group to?

When anuria and oliguria is the principal diagnosis on an inpatient stay, it groups to MS-DRG 674, 682, 673, 684, 683, 675, with relative weights from 0.6004 to 4.2523 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R34 be a principal diagnosis?

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

Can R34 be reported with O08.4?

Not as a rule. The Excludes1 note on R34 lists "anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).