Hematuria ICD 10 Code; R 31.9, Treatment & Billing Guidelines (2023)

Hematuria is the medical term for the presence of red blood cells in the urine. Red blood cells in urine might originate in the kidney or anywhere in the urinary system. The urinary tract consists of the ureters (the tubes that convey urine from the kidneys to the bladder), the bladder (which stores urine), the prostate (in males), and the urethra (the tube through which urine exits the body). Hematuria treatment includes numerous procedures and testing, therefore reporting Hematuria ICD 10 coding becomes increasingly difficult for practices to handle on their own.

Although spotting blood in the urine might be terrifying, hematuria is usually rarely life-threatening. However, it is crucial to determine the cause of hematuria since it may result from a serious disease.

This article will look meticulously at Hematuria ICD 10 Codes. It will cover the symptom and diagnosis of bladder and common codes.

Table of Contents

Causes of Hematuria

The kidneys and other components of the urinary system may leak blood cells into the urine in this syndrome. In certain circumstances, the blood may have come from somewhere else. Blood can occur in the urine in a variety of ways, including in the vagina in women, the ejaculate in males, or a bowel movement in either men or women. Urinary tract infections, the presence of stones in the bladder or kidney, an enlarged prostate, kidney infections (pyelonephritis), renal illness, severe exercise, anti-cancer medicines, cancer, and other hereditary conditions can all cause this leakage (like sickle cell anemia). Though it may affect males as well as women and can happen at any age. Usually, ICD 10 Code for hematuria is primarily used to report the condition.

Hematuria ICD 10 Code; R 31.9, Treatment & Billing Guidelines (1)
(Video) A Moment with Clarice Warner- Coding Clinic 1st Qtr

Types of Hematuria

Hematuria is of two types:

  • Gross hematuria occurs when a person can detect traces of blood in her/his urine and the urine appears pink or crimson with obvious blood spots.
  • Microscopic hematuria happens when a person cannot see the blood due to its microscopic size. Laboratory tests can only confirm microscopic hematuria by examining a urine sample under a microscope for blood.

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NEO MD stood best among competitors’ Revenue Cycle Management companies due to the following cores; Moreover, our professionals are versatile in applying the ICD 10 Code for Hematuria.

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Symptoms of Hematuria ICD 10

One of the most prevalent signs of the illness is pink, crimson, brownish-red, or tea-colored urine. Other symptoms may not be experienced. They may, however, develop serious bladder infections, kidney infections, and stones. Because of an enlarged prostate gland, the ailment is fairly frequent in males over the age of 50.

The hematuria ICD 10 code can help a physician accurately record a patient’s condition and provide a comprehensive medical record. The associated bladder and kidney pain is the most common pain documented with the code “R 31.9”. The ICD coding system, however, requires specific symptoms before a diagnosis can be made.

Causes of Hematuria ICD 10

There are different factors that cause Hematuria and disturb a person with pain. Below are the conditions we covered in the ICD 10 Code for Hematuria.

  1. Urinary infection
  2. Enlarged Prostate in older men
  3. Prostate infection
  4. Kidney or bladder stones
  5. Kidney trauma
  6. Anti-swelling drugs (joint swelling and pain pills)
  7. Period in women
  8. Kidney disease
  9. Cancer of the lining of the urinary tract
  10. Bladder cancer (mostly in smokers)
  11. Kidney cancer
  12. Tough workout

Hematuria ICD 10 Code

R31.9 is the diagnostic ICD 10 code for hematuria. This is a billable code, which means it may be used for any HIPAA-covered transactions.

In addition, the R31.9 code can serve as the basis for diagnosis and therapy during the reimbursement process. This version of the ICD-10-CM code for Hematuria is exclusive to the American version of the ICD-10-CM and went into effect on October 1, 2018. Internationally, the code may be different.

The table below includes the commonly used ICD 10 code for Hematuria:

Sr./NoCodesCode Description
2R31.0Gross hematuria
3R31.1Benign essential microscopic hematuria
4R31.21Asymptomatic microscopic hematuria
5R31.29Other microscopic hematuria
6R31.9Hematuria, unspecified

Medical billing for Hematuria, on the other hand, is difficult and time-consuming for many medical practitioners and businesses that lack access to trustworthy and skilled employees. As a result, doctors, healthcare providers, and medical professionals choose to outsource Hematuria ICD 10 Coding and Billing services to a medical billing company that is knowledgeable about handling their practice’s needs.

Diagnosing and Treating Hematuria

Diagnosing this condition requires a thorough physical examination and a medical history analysis. Urologists will ask patients about the quantity of blood in their urine and when they detect it during urination before doing a physical exam. They will also inquire about the frequency of urine, any discomfort experienced while urinating, the presence of blood clots when urinating, and what medicines patients are on. Physicians will collect a sample of urine for testing.A urinalysis can confirm the presence of blood and discover germs if the cause is an illness. It can also detect a urinary tract infection or the presence of minerals that might lead to kidney stones.

In addition, imaging tests such as an MRI scan, CT scan, and ultrasound may be used to determine the etiology of hematuria. In extreme situations, urologists may do a cystoscopy, which includes inserting a tiny tube into the urethra and inserting a camera into the bladder. The camera allows the doctor to check the inside of your bladder and urethra to diagnose the reason for your hematuria.

Treatment for this issue may vary depending on the kind and cause of hematuria. Antibiotics (to treat a urinary tract infection), prescription drugs (to decrease an enlarged prostate), or shock wave therapy are among the treatment options (to break up bladder or kidney stones).

To learn more about bladder and Urethra pain, visit our dysuria ICD 10 Coding Blogs, there you will learn about what is Dysuria, its symptoms, and its treatment. https://neomdinc.com/dysuria-icd-10-code-r-30-0-latest-billing-guidelines/

It is critical to be aware of all the resources required to put the ICD 10 Hematuria guidelines into action. A thorough awareness of the gross Hematuria ICD 10 regulations can considerably decrease the likelihood of coding errors while billing the patient’s treatment. As a result, our staff will assist you in increasing profitability by maintaining records and regulating each stage of your revenue cycle.

How can NEO MD resolve practices Hematuria ICD 10 Coding concerns?

NEO MD team provides state-of-the-art Medical Billing expertise and ICD 10 Hematuria coding resources. Additionally, in order to collect client payments on time, we have developed flexible revenue cycle management services that genuinely match provider needs. Obtaining funding from each source may increase your clinic’s profitability while ensuring its ability to pay for medical services.

Medical billing companies have a direct influence on physicians’ revenue cycle management. Long-term revenue cycle management is required for medical practices to stay competitive in the market over prolonged periods of time. Hire a Medical Billing company that has professional and qualified coding experts to guarantee that your CMS Hematuria billing Guidelines are up to date. NEO MD Medical Billing has made great strides in the billing of healthcare providers. Additionally, NEO has been ranked top among its rival Revenue Cycle Management Companies for specialized Medical Billing services.

Hematuria ICD 10 Code; R 31.9, Treatment & Billing Guidelines (2)

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    What does R31 9 hematuria mean? ›

    ICD-10 code R31. 9 for Hematuria, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

    What is R319 hematuria? ›

    Blood in the urine. Presence of blood in the urine.

    What is diagnosis code R319? ›

    icd10 - R319: Hematuria, unspecified.

    What is the ICD-10-CM code for hematuria? ›

    N393Stress incontinence (female) (male)
    R311Benign essential microscopic hematuria
    R312Other microscopic hematuria
    R319Hematuria, unspecified
    R32Unspecified urinary incontinence
    49 more rows

    What is the best treatment for hematuria? ›

    Treatment might involve: Taking antibiotic medicines to clear a urinary tract infection. Trying a prescription medicine to shrink an enlarged prostate. Having a treatment that uses sound waves to break up bladder or kidney stones.

    What are the four 4 different categories of hematuria? ›

    Hematuria may be categorized as follows:
    • Gross hematuria.
    • Microscopic hematuria with clinical symptoms.
    • Asymptomatic microscopic hematuria with proteinuria.
    • Asymptomatic microscopic (isolated) hematuria.
    May 10, 2020

    What causes hematuria treatment? ›

    Infection is one of the most common causes of hematuria. The infection could be somewhere in your urinary tract, your bladder, or in your kidneys. Infection occurs when bacteria move up the urethra, the tube that carries urine out of the body from the bladder.

    What are the two types of hematuria? ›

    (See "Etiology and evaluation of hematuria in adults".) There are two main types of hematuria: gross and microscopic.

    What qualifies as hematuria? ›

    Hematuria means there is blood in your urine. The two types of hematuria are. gross hematuria—when you can see the blood in your urine. microscopic hematuria—when you cannot see the blood in your urine, but it can be seen under a microscope or is found using a urine test called a urinalysis.

    What is the code for acute cystitis with hematuria? ›

    ICD-10 code N30. 01 for Acute cystitis with hematuria is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

    What is the diagnosis code for heavy bleeding? ›

    Menorrhagia is well-covered by ICD10 codes N92. 0, N92. 2, and N92. 4.

    What is the diagnosis code for pre op testing? ›

    Most pre-op exams will be coded with Z01. 818. The ICD-10 instructions say to use the preprocedural diagnosis code first, and then the reason for the surgery and any additional findings. Evaluations before surgery are reimbursable services.

    What is the ICD-10 for recurrent hematuria? ›

    ICD-10 code N02. 9 for Recurrent and persistent hematuria with unspecified morphologic changes is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .

    Is hematuria and UTI the same? ›

    1. Urinary Tract Infections. Urinary tract infections (UTIs) are the most common cause of hematuria. Since the urinary tract is composed of the bladder, ureters, and kidneys, a UTI refers to an infection anywhere in that system.

    What is the difference between hematuria and gross hematuria? ›

    Hematuria is the presence of blood in the urine. Hematuria can be gross or microscopic; gross hematuria is visible blood in urine whereas microscopic hematuria refers to the detection of blood on urinalysis or urine microscopy.

    How does urologist treat blood in urine? ›

    Treatment. Hematuria is managed by treating its underlying cause. For example, if the condition is caused by a urinary tract infection, it is treated with antibiotics. Treatment for kidney stones can include waiting for the stone to pass by itself, medication or surgery.

    What does urologist do for hematuria? ›

    For hematuria caused by an enlarged prostate that isn't relieved by medications, your provider may suggest surgery. For kidney disease, you might need dialysis to filter out waste or even a kidney transplant. For cancers, your urologist may be part of a multidisciplinary care team.

    How long does it take to treat hematuria? ›

    Expected Duration

    For example, hematuria related to strenuous exercise typically goes away on its own within 24 to 48 hours. Hematuria resulting from a urinary tract infection will end when the infection is cured. Hematuria related to a kidney stone will clear after the stone is passed or removed.

    How much hematuria is concerning? ›

    Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible.

    Should I worry about hematuria? ›

    If you notice blood in your urine, don't panic, but do take it seriously. In many cases, blood in the urine, otherwise known as hematuria, can be easily treated. However, it can also point to a serious problem, such as cancer. Patients usually have a lot of questions when they first see blood in their urine.

    Is hematuria a serious condition? ›

    It can be scary to see blood in urine, also called hematuria. In many cases, the cause is harmless. But blood in urine also can be a sign of a serious illness. If you can see the blood, it's called gross hematuria.

    What is normal hematuria? ›

    Hematuria is the medical name for the presence of blood cells in urine (pee). Healthcare providers label blood in urine as gross, microscopic or dipstick. Gross hematuria occurs when there's enough blood present in your urine that it's visible to the naked eye. It can turn toilet water a pale pink or bright red color.

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