R81Billable, valid for claims from October 1, 2026

Glycosuria

In Abnormal findings on examination of urine, without diagnosis (R80-R82), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

  • R81 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under R80-R82 below.
  • As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
  • Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
  • AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).

Also indexed as: Abnormal, urine, glucose; Findings, glycosuria; Findings, urine, glucose; Findings, urine, sugar; Glycosuria; Sugar, in urine

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Instructional notes

Excludes1: not coded here, use a different code

Also applies, from Abnormal findings on examination of urine, without diagnosis (R80-R82)

These notes sit on R80-R82 and apply to every code under it, including R81.

Excludes1: not coded here, use a different code

  • abnormal findings on antenatal screening of mother (O28.-)
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index
  • specific findings indicating disorder of amino-acid metabolism (E70-E72)
  • specific findings indicating disorder of carbohydrate metabolism (E73-E74)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

Read Section I.C.18 (page 75), 1 more topics

Other codes under R80-R82

Abnormal findings on examination of urine, without diagnosis (R80-R82)

R81 MS-DRGs

As the principal diagnosis, R81 groups to MS-DRG 637, 638, or 639 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Related conditions

Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.

R81 is in Abnormal findings without diagnosis (SYM017, its default category), with 199 codes. Others in it:

  • R70.0 Elevated erythrocyte sedimentation rate
  • R70.1 Abnormal plasma viscosity
  • R71.0 Precipitous drop in hematocrit
  • R71.8 Other abnormality of red blood cells
  • R73.01 Impaired fasting glucose
  • R73.02 Impaired glucose tolerance (oral)
  • R73.09 Other abnormal glucose
  • R73.9 Hyperglycemia, unspecified

Other codes that refer to R81

Notes on these codes point to R81.

  • R73.0 Excludes1: glycosuria (R81)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Urine and Urination

Your kidneys make urine by filtering wastes and extra water from your blood. The waste is called urea. Your blood carries it to the kidneys. From the kidneys, urine travels down two thin tubes called ureters to the bladder. The bladder stores urine until you are ready to urinate. It swells into a round shape when it is full and gets smaller when empty. If your urinary system is healthy, your bladder can hold up to 16 ounces (2 cups) of urine comfortably for 2 to 5 hours.

Read more about urine and urination on MedlinePlus

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 791.5 Glycosuria
ICD-9 to ICD-10 converter