ICD Code R31.0

ICD code R31.0 is gross hematuria, which means there is visible blood in the urine.

1. Presence of visible blood in the urine (gross hematuria) confirmed by patient observation or clinical assessment

2. No evidence that the hematuria is microscopic or only detectable by laboratory testing

3. Hematuria not attributable to menstruation, recent urological procedures, or known benign causes

4. Associated symptoms may include urinary frequency, urgency, dysuria, or suprapubic pain, but these are not required for code assignment

5. Clinical documentation explicitly states gross hematuria as a primary or secondary diagnosis

Relevant CPT codes that may be used to treat ICD code R31.0 include:

- 52000 (Cystourethroscopy)

- 52001 (Cystourethroscopy with irrigation and evacuation of clot)

- 52005 (Cystourethroscopy with ureteral catheterization)

- 52204 (Cystourethroscopy with biopsy)

- 52224 (Cystourethroscopy with fulguration of lesion)

- 51700 (Bladder irrigation, simple, lavage and/or instillation)

- 51701 (Insertion of non-indwelling bladder catheter)

- 51702 (Insertion of temporary indwelling bladder catheter, simple)

- 51703 (Insertion of temporary indwelling bladder catheter, complicated)

- 51798 (Measurement of post-voiding residual urine and/or bladder capacity by ultrasound)

- 85025 (Complete blood count with automated differential)

- 81001 (Urinalysis, automated, with microscopy)

- 88141 (Cytopathology, interpretation of urine specimen)

These CPT codes are commonly associated with the evaluation and management of R31.0.

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