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ICD-10 Guide
ICD-10 CodesN02.8

N02.8

Billable

Recurrent and persistent hematuria with other morphologic changes

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N02.8 is a billable code used to indicate a diagnosis of recurrent and persistent hematuria with other morphologic changes.

Key Diagnostic Point:

N02.8 refers to recurrent and persistent hematuria accompanied by other morphologic changes in the urinary system. Hematuria, defined as the presence of blood in urine, can be indicative of various underlying conditions, including nephritis, glomerulonephritis, and nephrotic syndrome. In nephritis, inflammation of the kidneys can lead to both hematuria and proteinuria, often necessitating a renal biopsy to assess the extent of kidney damage and identify specific morphologic changes. Glomerulonephritis, characterized by inflammation of the glomeruli, can present with hematuria and is often associated with significant proteinuria. The management of these conditions typically involves nephrology specialists who may prescribe immunosuppressive therapy, corticosteroids, or other medications to control inflammation and prevent further renal damage. Accurate coding of N02.8 requires a thorough understanding of the patient's clinical presentation, laboratory findings, and any relevant imaging studies, as these factors contribute to the diagnosis and treatment plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of hematuria (gross vs. microscopic)
  • Identifying underlying causes such as nephritis or glomerulonephritis
  • Interpreting renal biopsy findings accurately
  • Understanding the relationship between hematuria and proteinuria

Audit Risk Factors

  • Inadequate documentation of hematuria duration and frequency
  • Failure to document renal biopsy results
  • Misclassification of hematuria type
  • Lack of correlation between clinical findings and coding

Specialty Focus

Medical Specialties

Nephrology

Documentation Requirements

Detailed clinical notes on hematuria, proteinuria, and renal function tests.

Common Clinical Scenarios

Patients presenting with unexplained hematuria, nephrotic syndrome, or renal failure.

Billing Considerations

Ensure renal biopsy findings are clearly documented and correlate with the diagnosis.

Urology

Documentation Requirements

Comprehensive assessment of urinary symptoms, imaging studies, and any surgical interventions.

Common Clinical Scenarios

Patients with hematuria requiring evaluation for urological malignancies or stones.

Billing Considerations

Document any urological procedures performed to rule out malignancy.

Coding Guidelines

Inclusion Criteria

Use N02.8 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that all relevant clinical documentation supports the diagnosis of recurrent and persistent hematuria with morphologic changes
  • Include any laboratory results and imaging studies that confirm the diagnosis

Exclusion Criteria

Do NOT use N02.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88172CPT Code

Renal biopsy

Clinical Scenario

When renal biopsy is performed to assess underlying causes of hematuria.

Documentation Requirements

Document indications for biopsy, findings, and any complications.

Specialty Considerations

Nephrology specialists should ensure that biopsy results are linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hematuria-related conditions, improving the accuracy of diagnoses and treatment plans. N02.8 provides a clear classification for recurrent and persistent hematuria with morphologic changes, enhancing data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hematuria-related conditions, improving the accuracy of diagnoses and treatment plans. N02.8 provides a clear classification for recurrent and persistent hematuria with morphologic changes, enhancing data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hematuria-related conditions, improving the accuracy of diagnoses and treatment plans. N02.8 provides a clear classification for recurrent and persistent hematuria with morphologic changes, enhancing data collection and analysis.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of morphologic changes in hematuria?

Morphologic changes indicate underlying kidney pathology, which can guide treatment and management strategies.