2027 ICD-10-CM Diagnosis Code R39.2Extrarenal uremia

ICD-10-CM Codes›R00–R99›R30-R39›R39

ICD-10-CM R39.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

R39.2 is a billable ICD-10-CM diagnosis code for extrarenal uremia. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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 postrenal uremia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Genitourinary signs and symptoms.

Code Identity

ICD-10-CM Code
R39.2
Billable Status
Yes — Valid for Submission
Code Describes
Extrarenal uremia
Short Description
Extrarenal uremia
Same as the full description in the CMS dataset.
Parent Code
R39
Other and unspecified 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
CategoryR39Other and unspecified symptoms and signs involving the genitourinary system
This CodeR39.2Extrarenal uremia

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Postrenal uremia

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to R39.2: its own notes plus those printed at Chapter 18. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Prerenal uremia

Excludes1

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

  • uremia NOS (N19)

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 R39.2, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming R39.2: they are not reported together with it, unless the two conditions are unrelated.

  • N19 Unspecified kidney failure
    extrarenal uremia (R39.2)
  • N19 Unspecified kidney failure
    prerenal uremia (R39.2)

Excludes2 3

These codes carry an Excludes2 note naming R39.2: its condition is not part of those codes, and both may be reported when the patient has both.

  • Block N17-N19 Acute kidney failure and chronic kidney disease
    extrarenal uremia (R39.2)
  • Block N17-N19 Acute kidney failure and chronic kidney disease
    prerenal uremia (R39.2)
  • 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

Alphabetical index entries that point to this code.

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

Patient EducationClinical

Kidney Failure

Healthy kidneys clean your blood by removing excess fluid, minerals, and wastes. They also make hormones that keep your bones strong and your blood healthy. But if the kidneys are damaged, they don't work properly. Harmful wastes can build up in your body. Your blood pressure may rise.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R39.2 to ICD-9-CMHistory

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

ICD-9-CM
788.99 Oth symptm urinary systm
Approximate The match is approximate rather than exact.

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 R39.2Overview

What is the ICD-10 code for extrarenal uremia?

The ICD-10-CM code for extrarenal uremia is R39.2 (sometimes written as R392). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is R39.2 a billable code?

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

What MS-DRG does R39.2 group to?

When extrarenal uremia is the principal diagnosis on an inpatient stay, it groups to MS-DRG 696, 695, with relative weights from 0.6677 to 1.1136 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R39.2 be a principal diagnosis?

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

Can R39.2 be reported with N19?

Not as a rule. The Excludes1 note on R39.2 lists "uremia NOS (N19)". 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).