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In the world of medical coding, precision is key. Healthcare professionals rely on a standardized coding system to ensure accuracy and consistency when documenting patient conditions complaints, and hematuria. The presence of blood in the urine is no exception. In this article, we will explore the ICD-10 code for hematuria and clarify related coding aspects to help you navigate this specific condition effortlessly.

Understanding Hematuria

Before we delve into the world of medical coding, let’s ensure we understand what hematuria is. Hematuria is a medical term that describes the presence of blood in the urine. Various underlying causes can lead to this condition, such as urinary tract infections, kidney stones, trauma, or more severe issues like bladder or kidney cancer.

Hematuria can fall into two primary categories:

  1. Macroscopic Hematuria: This type involves blood in the urine that is visible to the naked eye, resulting in a pink, red, or brownish color.
  2. Microscopic Hematuria: In this case, blood is not visible to the naked eye but can be detected through laboratory tests.

ICD-10 Code for Complaints of Hematuria

The International Classification of Diseases, 10th Edition (ICD-10), serves as the worldwide coding system to classify and code diseases, conditions, and various medical complaints accurately. The ICD-10 code for complaints of hematuria depends on several factors, including the cause and clinical details.

For the purpose of this article, we will focus on the primary ICD-10 code associated with complaints of hematuria:

However, it’s crucial to recognize that when healthcare professionals are aware of a specific cause of hematuria, they utilize a more precise code corresponding to that particular cause. For example, if hematuria is due to a urinary tract infection, the code would be different.

What is the CPT Code for Hematuria?

While the ICD-10 code provides information about the diagnosis or condition, healthcare professionals use the Current Procedural Terminology (CPT) code to identify the procedures or services they perform during a patient’s visit. Regarding hematuria, the CPT code varies depending on the medical services provided.

There is no single CPT code exclusively designated for hematuria because the code depends on the procedures performed. Common CPT codes related to the evaluation and management of hematuria may include codes for office visits, laboratory tests, or imaging procedures.

What is Hematuria Unspecified?

“Hematuria, unspecified,” represents a term in medical coding when healthcare providers have not documented or identified the exact cause or source of blood in the urine. In the ICD-10 coding system, this condition is coded as R31.9.

Medical professionals may use this code when they have not yet determined the underlying cause of hematuria. When the patient’s medical records lack specific details about the condition. It serves as a temporary placeholder until more information becomes available.

What is the ICD-9 Code for Hematuria?

The ICD-9 coding system was used before the introduction of ICD-10. While ICD-9 is no longer in official use for reporting medical diagnoses and conditions, some historical data may still refer to it. For those seeking information on the ICD-9 code for hematuria, it is 599.7.


In the world of healthcare and medical coding, accuracy and specificity are paramount. When dealing with a condition like hematuria, which can have various underlying causes, it is essential to use the appropriate ICD-10 code to precisely document the condition. The primary ICD-10 code for complaints of hematuria is R31.9, which is used when the cause is unspecified.

Remember that the CPT code for hematuria depends on the specific procedures or services provided during the patient’s visit. While ICD-9 is no longer in official use, the historical ICD-9 code for hematuria is 599.7.

In the ever-evolving field of healthcare, staying up to date with the latest coding guidelines and regulations is crucial. Precise and accurate coding not only ensures the best patient care but also facilitates efficient billing and insurance processes.

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