ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R80.0

Billable / Specific

Isolated proteinuria

R80
Block
1
Synonyms
45
LCDs
5
Payer Policies
1
Linked CPTs

About ICD-10-CM R80.0

ICD-10-CM code R80.0 represents Isolated proteinuria. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R80). The 2026 edition of ICD-10-CM R80.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R80.0. Per CMS ICD-10-CM Tabular 2026.

  • Idiopathic proteinuria

Type 1 Excludes

Pure excludes, these codes can never be coded together with R80.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • isolated proteinuria with specific morphological lesion (N06.-)

Medicare LCD Coverage for R80.0

Local Coverage Determinations (LCDs) from CMS MACs that list R80.0 as a covered diagnosis.

45 LCDs

Showing top 10 of 45 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88189 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86360 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86361 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88187 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86363 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86359 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 86356 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88188 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88184 →
CMS LCD: Billing and Coding: Lab: Flow Cytometry
Article ID: 57689, Effective: 2025-11-06 00:00:00, 1518 covered, 0 non-covered
CPT 88185 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R80.0.

5 policies

5 Medicare

Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: Lab: Cystatin C Measurement
Policy ID: ART-57643
Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-57689

CPT Codes Commonly Billed with R80.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 82610 CMS LCD: Billing and Coding: Lab: Cystatin C Measurement CMS LCD

Convert R80.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R80.0 7910 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R80.0, Billing FAQ

Is ICD-10 code R80.0 billable? +

Yes, R80.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R80.0? +

ICD-10 R80.0 includes: Idiopathic proteinuria.

What codes are Type 1 Excludes for R80.0? +

Type 1 Excludes (never code together with R80.0): isolated proteinuria with specific morphological lesion (N06.-)

What CPT codes are commonly billed with R80.0? +

Procedures frequently paired with R80.0 include: 82610.

What ICD-9 codes does R80.0 map to? +

Per CMS GEMs, R80.0 maps to ICD-9 codes: 7910. 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 June 1, 2026.

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