R31Non-billable

Hematuria

Symptoms, Signs and Abnormal Clinical and Laboratory Findings·Symptoms and signs involving the genitourinary system (R30-R39)·category·FY 2026

CH18 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • hematuria included with underlying conditions, such as:
  • acute cystitis with hematuria (N30.01)
  • recurrent and persistent hematuria in glomerular diseases (N02.-)

Clinical Hierarchy

BillableHas subcodes
CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R30-R39Symptoms and signs involving the genitourinary system (R30-R39)
R31HematuriaNot billable
R31.0Gross hematuriaBillable
R31.1Benign essential microscopic hematuriaBillable
R31.2Other microscopic hematuriaSubcodes
R31.9Hematuria, unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.