What is the ICD-10 code for gross hematuria?

The ICD-10 code for gross hematuria is R31.0, used when there is visible blood in urine without a confirmed cause.

How do you code microscopic hematuria?

Microscopic hematuria is coded as R31.1 when it is benign and confirmed by urinalysis.

ICD-10 Coding for Hematuria(R31.0, N02.1, N30.01)

Save

Explore detailed ICD-10 coding guidelines for hematuria, including gross and microscopic hematuria. Learn about documentation requirements, coding pitfalls, and billing considerations.

Also known as:

Blood in urineMicroscopic hematuriaGross hematuria

Related ICD-10 Code Ranges

Complete code families applicable to Hematuria

R00-R99Primary Range

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
R31.0	Gross hematuria	Use when there is visible blood in urine without a confirmed cause.	Urinalysis showing visible blood Imaging ruling out stones or masses
R31.1	Benign essential microscopic hematuria	Use for asymptomatic microscopic hematuria with benign findings.	Urinalysis showing >3 RBCs/HPF Absence of proteinuria
R31.9	Hematuria, unspecified	Use when hematuria is present but the cause is not yet identified.	Initial presentation without specific findings

Primary ICD-10-CM Codes

Gross hematuria

R31.0Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Acute cystitis with hematuriaN30.01

Use when hematuria is due to a confirmed UTI.

Recurrent and persistent hematuria with glomerular lesionsN02.1

Use when biopsy confirms glomerular disease.

Documentation & Coding Risks

Avoid these common issues when documenting Hematuria.

Failing to document urinalysis results

Impact

Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.

Mitigation

Ensure urinalysis is performed and results are recorded., Train staff on documentation standards.

Using R31.9 when a specific cause is known

Impact

Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation

Identify and code the specific cause of hematuria.

Use of unspecified codes

Impact

High risk of audits when unspecified codes are overused.

Mitigation

Ensure specific causes are documented and coded.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with R31.0.

Primary Code

R31.0

Gross hematuria

Quick Navigation

ICD-10 codes6

Coding risks3

FAQs2

ICD-10 Coding for Hematuria(R31.0, N02.1, N30.01)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for gross hematuria?

How do you code microscopic hematuria?

Related condition guides