ICD-10 Code R31.0

ICD-10-CM code R31.0 refers to "gross hematuria." Code R31.0 is an International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM) code that healthcare providers and medical billers use to document and classify hematuria, the presence of blood in the urine, which can be visible to the naked eye or detected through laboratory tests. When blood is visible, it is termed "gross hematuria," indicating a significant amount of blood in the urine.

R31.0, gross hematuria, is used to code for a condition where there is a notable presence of blood in the urine. This can be alarming for patients and often warrants further investigation to determine the underlying cause. Gross hematuria can result from various conditions such as urinary tract infections (UTIs), kidney stones, trauma, or more serious issues like malignancies in the urinary tract.

Gross hematuria is characterized by the visible presence of blood in the urine. Symptoms that might accompany this condition include:

Depending on the underlying cause, additional symptoms may also be present, such as fever (in cases of infection) or weight loss and fatigue (in cases of malignancy).

Several ICD-10 codes are related to R31.0, Gross Hematuria, and may be used to capture different aspects or causes of hematuria:

When coding for R31.0, it is important to ensure that the diagnosis is based on clinical evidence of gross hematuria. Physicians should document the visible presence of blood in the urine and any related symptoms. It is also important to investigate and document potential underlying causes, which might require additional diagnostic testing such as urinalysis, imaging studies, or cystoscopy.

Using R31.0 appropriately involves differentiating between gross hematuria and other forms of hematuria, ensuring that the correct code is applied based on the clinical findings.

Some common pitfalls in coding R31.0 include:

Several resources can assist healthcare providers and coders in accurately coding R31.0:

Use ICD-10-CM code R31.0, gross hematuria, to document the presence of visible blood in the urine. Accurate coding requires proper identification, documentation, and investigation of the underlying causes. By understanding the appropriate usage and common pitfalls, healthcare providers can ensure precise coding, which is important for effective patient management and reimbursement processes. Use key resources can further enhance the accuracy and quality of coding practices.

Tebra’s EHR+ gives you quick searches and Systematized Nomenclature of Medicine (SNOMED) field names for efficient code documentation. Plus, Tebra automatically saves ICD-10 to SNOMED mapping for future searches, streamlining your workflow.

Discover how Tebra helps providers effortlessly document health-related issues and conditions in this detailed post.