Hematuria ICD 10 Code; R 31.9, Treatment & Billing Guidelines

Hematuria is the medical term for the presence of red blood cells in the urine. Red blood cells in urine might originate in the kidney or anywhere in the urinary system. The urinary tract consists of the ureters (the tubes that convey urine from the kidneys to the bladder), the bladder (which stores urine), the prostate (in males), and the urethra (the tube through which urine exits the body). Hematuria treatment includes numerous procedures and testing, therefore reporting Hematuria ICD 10 coding becomes increasingly difficult for practices to handle on their own.

Although spotting blood in the urine might be terrifying, hematuria is usually rarely life-threatening. However, it is crucial to determine the cause of hematuria since it may result from a serious disease.

This article will look meticulously at Hematuria ICD 10 Codes. It will cover the symptom and diagnosis of bladder and common codes.

Table of Contents

Causes of Hematuria

The kidneys and other components of the urinary system may leak blood cells into the urine in this syndrome. In certain circumstances, the blood may have come from somewhere else. Blood can occur in the urine in a variety of ways, including in the vagina in women, the ejaculate in males, or a bowel movement in either men or women. Urinary tract infections, the presence of stones in the bladder or kidney, an enlarged prostate, kidney infections (pyelonephritis), renal illness, severe exercise, anti-cancer medicines, cancer, and other hereditary conditions can all cause this leakage (like sickle cell anemia). Though it may affect males as well as women and can happen at any age. Usually, ICD 10 Code for hematuria is primarily used to report the condition.

ICD 10 Code for Hematuria
ICD 10 Code for Hematuria

Types of Hematuria

Hematuria is of two types:

  • Gross hematuria occurs when a person can detect traces of blood in her/his urine and the urine appears pink or crimson with obvious blood spots.
  • Microscopic hematuria happens when a person cannot see the blood due to its microscopic size. Laboratory tests can only confirm microscopic hematuria by examining a urine sample under a microscope for blood.

What Stands out NEO MD as the Best Medical Billing Company?

NEO MD stood best among competitors’ Revenue Cycle Management companies due to the following cores; Moreover, our professionals are versatile in applying the ICD 10 Code for Hematuria.

  • First level of Claim acceptance rate 95-98%
  • Improve RCM system efficiency with a robust credentialing team.
  • Our experts work hard to reduce your front-end denials by 20%.
  • Successfully opening Insurance Panels for Providers
  • Refunds adjustment and Payment posting to improve the cash flow.
  • Provide Medical Billing and collection services that are of high quality and error-free. 
  • Offer Services that are easily scalable at all times.
  • Offer internal audits to uncover loopholes.
  • Increase the accuracy of fees and collection.
  • Provide fortnightly financial and practice overviews.
  • Evolving state-of-the-art medical billing services for small practices
  • Out of Network Negotiations. 
  • We have consistently increased the collection rate for our clients because of the faster processing of accounts receivable and on-time follow-up.

Symptoms of Hematuria ICD 10

One of the most prevalent signs of the illness is pink, crimson, brownish-red, or tea-colored urine. Other symptoms may not be experienced. They may, however, develop serious bladder infections, kidney infections, and stones. Because of an enlarged prostate gland, the ailment is fairly frequent in males over the age of 50.

The hematuria ICD 10 code can help a physician accurately record a patient’s condition and provide a comprehensive medical record. The associated bladder and kidney pain is the most common pain documented with the code “R 31.9”. The ICD coding system, however, requires specific symptoms before a diagnosis can be made.

Causes of Hematuria ICD 10

There are different factors that cause Hematuria and disturb a person with pain. Below are the conditions we covered in the ICD 10 Code for Hematuria.

  1. Urinary infection
  2. Enlarged Prostate in older men
  3. Prostate infection
  4. Kidney or bladder stones
  5. Kidney trauma
  6. Anti-swelling drugs (joint swelling and pain pills)
  7. Period in women
  8. Kidney disease
  9. Cancer of the lining of the urinary tract
  10. Bladder cancer (mostly in smokers)
  11. Kidney cancer
  12. Tough workout

Hematuria ICD 10 Code

R31.9 is the diagnostic ICD 10 code for hematuria. This is a billable code, which means it may be used for any HIPAA-covered transactions.

In addition, the R31.9 code can serve as the basis for diagnosis and therapy during the reimbursement process. This version of the ICD-10-CM code for Hematuria is exclusive to the American version of the ICD-10-CM and went into effect on October 1, 2018.  Internationally, the code may be different.

The table below includes the commonly used ICD 10 code for Hematuria:

Sr./No Codes Code Description
1 R31 Hematuria
2 R31.0 Gross hematuria
3 R31.1 Benign essential microscopic hematuria
4 R31.21 Asymptomatic microscopic hematuria
5 R31.29 Other microscopic hematuria
6 R31.9 Hematuria, unspecified

Medical billing for Hematuria, on the other hand, is difficult and time-consuming for many medical practitioners and businesses that lack access to trustworthy and skilled employees. As a result, doctors, healthcare providers, and medical professionals choose to outsource Hematuria ICD 10 Coding and Billing services to a medical billing company that is knowledgeable about handling their practice’s needs.

Diagnosing and Treating Hematuria

Diagnosing this condition requires a thorough physical examination and a medical history analysis. Urologists will ask patients about the quantity of blood in their urine and when they detect it during urination before doing a physical exam. They will also inquire about the frequency of urine, any discomfort experienced while urinating, the presence of blood clots when urinating, and what medicines patients are on. Physicians will collect a sample of urine for testing. A urinalysis can confirm the presence of blood and discover germs if the cause is an illness. It can also detect a urinary tract infection or the presence of minerals that might lead to kidney stones.

In addition, imaging tests such as an MRI scan, CT scan, and ultrasound may be used to determine the etiology of hematuria. In extreme situations, urologists may do a cystoscopy, which includes inserting a tiny tube into the urethra and inserting a camera into the bladder. The camera allows the doctor to check the inside of your bladder and urethra to diagnose the reason for your hematuria.

Treatment for this issue may vary depending on the kind and cause of hematuria. Antibiotics (to treat a urinary tract infection), prescription drugs (to decrease an enlarged prostate), or shock wave therapy are among the treatment options (to break up bladder or kidney stones). 

To learn more about bladder and Urethra pain, visit our dysuria ICD 10 Coding Blogs, there you will learn about what is Dysuria, its symptoms, and its treatment.

It is critical to be aware of all the resources required to put the ICD 10 Hematuria guidelines into action. A thorough awareness of the gross Hematuria ICD 10 regulations can considerably decrease the likelihood of coding errors while billing the patient’s treatment. As a result, our staff will assist you in increasing profitability by maintaining records and regulating each stage of your revenue cycle.

How can NEO MD resolve practices Hematuria ICD 10 Coding concerns?

NEO MD team provides state-of-the-art Medical Billing expertise and ICD 10 Hematuria coding resources. Additionally, in order to collect client payments on time, we have developed flexible revenue cycle management services that genuinely match provider needs. Obtaining funding from each source may increase your clinic’s profitability while ensuring its ability to pay for medical services.

Medical billing companies have a direct influence on physicians’ revenue cycle management. Long-term revenue cycle management is required for medical practices to stay competitive in the market over prolonged periods of time. Hire a Medical Billing company that has professional and qualified coding experts to guarantee that your CMS Hematuria billing Guidelines are up to date. NEO MD Medical Billing has made great strides in the billing of healthcare providers. Additionally, NEO has been ranked top among its rival Revenue Cycle Management Companies for specialized Medical Billing services.

Hematuria ICD 10 coding
Hematuria ICD 10 coding

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