ICD-10 R31.1
Billable / SpecificBenign essential microscopic hematuria
About ICD-10-CM R31.1
ICD-10-CM code R31.1 represents Benign essential microscopic hematuria. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R31). The 2026 edition of ICD-10-CM R31.1 became effective on October 1, 2025.
Medicare LCD Coverage for R31.1
Local Coverage Determinations (LCDs) from CMS MACs that list R31.1 as a covered diagnosis.
Showing top 10 of 141 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R31.1.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with R31.1
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 88120 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86386 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86294 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86316 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 88121 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 82610 CMS LCD: Billing and Coding: Lab: Cystatin C Measurement CMS LCD
Convert R31.1 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R31.1 | 59972 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R31.1
Other codes in section R30-R39 (Symptoms and signs involving the genitourinary system).
ICD-10 R31.1, Billing FAQ
Is ICD-10 code R31.1 billable? +
Yes, R31.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with R31.1? +
Procedures frequently paired with R31.1 include: 88120, 86386, 86294, 86316, 88121.
What ICD-9 codes does R31.1 map to? +
Per CMS GEMs, R31.1 maps to ICD-9 codes: 59972. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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