Gross hematuria
ICD-10 R31.0 is a billable code used to indicate a diagnosis of gross hematuria.
Gross hematuria is defined as the presence of visible blood in the urine, which can be alarming for patients and often indicates an underlying pathology. It can manifest as pink, red, or brown urine, and may be accompanied by other symptoms such as flank pain, dysuria, or urgency. The causes of gross hematuria are varied and can include urinary tract infections (UTIs), kidney stones, trauma, malignancies (such as bladder or kidney cancer), and glomerular diseases. The diagnostic approach typically involves a thorough history and physical examination, urinalysis, imaging studies (such as ultrasound or CT scans), and sometimes cystoscopy to visualize the bladder. It is crucial for healthcare providers to differentiate between gross and microscopic hematuria, as the management and implications may differ significantly. Accurate documentation of the patient's symptoms, duration, and associated factors is essential for proper coding and treatment planning.
Detailed history of present illness, including onset, duration, and associated symptoms.
Patients presenting with unexplained hematuria during routine check-ups or with urinary symptoms.
Consideration of chronic conditions such as diabetes or hypertension that may contribute to renal issues.
Acute presentation details, including vital signs, pain assessment, and immediate interventions.
Patients with sudden onset of hematuria following trauma or with severe flank pain.
Rapid assessment and documentation of potential life-threatening conditions such as renal trauma or malignancy.
Used to evaluate for causes of hematuria.
Indicate the reason for the ultrasound and findings.
Urologists may perform additional imaging or procedures based on findings.
Gross hematuria is visible blood in the urine, while microscopic hematuria is detected only through laboratory testing and is not visible to the naked eye.
