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Home/Diagnosis/ICD-10 Coding for Blood in the Urine

ICD-10 Coding for Blood in the Urine

R31.0
R31.1
R31.21

Complete ICD-10-CM coding and documentation guide for icd-10 coding for blood in the urine includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hematuria
Microscopic Hematuria
Gross Hematuria
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Key Information: ICD-10 Coding for Blood in the Urine

Essential facts and insights about ICD-10 Coding for Blood in the Urine

Use ICD-10 code R31.0 for gross hematuria, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Gross hematuria

Billable Code
R31.0
Billable

Diagnostic Criteria

  • • Visible blood in urine without specific cause

Applicable To

  • • Visible blood in urine

Important Notes

  • • Ensure documentation specifies 'gross hematuria' and includes clinical observations.

Benign essential microscopic hematuria

Billable Code
R31.1
Billable

Diagnostic Criteria

  • • Microscopic confirmation with urinalysis showing ≥3 RBC/hpf

Applicable To

  • • Microscopic hematuria without significant clinical findings

Important Notes

  • • Documentation must confirm microscopic findings and absence of visible blood.

Asymptomatic microscopic hematuria

Billable Code
R31.21
Billable

Diagnostic Criteria

  • • Urinalysis showing ≥3 RBC/hpf with no symptoms

Applicable To

  • • Microscopic hematuria without symptoms

Important Notes

  • • Ensure documentation confirms absence of symptoms.
Ancillary Codes

Additional codes that may be used with this diagnosis

N39.0

Urinary tract infection, site not specified

Use when hematuria is due to a UTI, with N39.0 as primary.

Frequently Asked Questions

How is blood in the urine coded in ICD-10?

Blood in the urine is coded as R31.0 for gross hematuria and R31.1 for benign essential microscopic hematuria. Use R31.21 for asymptomatic microscopic hematuria.

What documentation is needed for coding hematuria?

Documentation must specify if hematuria is gross or microscopic and confirm findings with urinalysis. Include any associated symptoms or lack thereof.

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