ICD-10 R31
Non-Billable HeaderHematuria
About ICD-10-CM R31
ICD-10-CM code R31 represents Hematuria. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R31). The 2026 edition of ICD-10-CM R31 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R31. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- hematuria included with underlying conditions, such as:
- acute cystitis with hematuria (N30.01)
- recurrent and persistent hematuria in glomerular diseases (N02.-)
Medicare LCD Coverage for R31
Local Coverage Determinations (LCDs) from CMS MACs that list R31 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R31.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R31 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R31
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To R31
Other codes in section R30-R39 (Symptoms and signs involving the genitourinary system).
ICD-10 R31, Billing FAQ
Is ICD-10 code R31 billable? +
No, R31 is a non-billable header code. Use a more specific child code from block R31 when submitting claims.
What codes are Type 1 Excludes for R31? +
Type 1 Excludes (never code together with R31): hematuria included with underlying conditions, such as:; acute cystitis with hematuria (N30.01); recurrent and persistent hematuria in glomerular diseases (N02.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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