Benign essential microscopic hematuria
ICD-10 R31.1 is a billable code used to indicate a diagnosis of benign essential microscopic hematuria.
Benign essential microscopic hematuria refers to the presence of red blood cells in the urine that is detected under a microscope, without any associated symptoms or identifiable underlying pathology. This condition is often discovered incidentally during routine urinalysis and is characterized by the absence of significant urinary tract symptoms such as pain, dysuria, or urgency. The hematuria is considered 'benign' when it is not associated with any identifiable disease process, and it typically resolves spontaneously. Common causes of benign essential microscopic hematuria include vigorous exercise, dehydration, and certain medications. It is important to differentiate this condition from other causes of hematuria, which may indicate more serious underlying conditions such as urinary tract infections, kidney stones, or malignancies. Diagnosis is primarily based on urinalysis findings, and further evaluation may be warranted if the hematuria persists or is accompanied by other concerning symptoms.
Document the absence of symptoms and any relevant history that supports the benign nature of the hematuria.
Routine check-ups where hematuria is found incidentally.
Ensure that any potential causes of hematuria are ruled out before coding as benign.
Document acute presentation and any immediate interventions or evaluations performed.
Patients presenting with hematuria after exercise or trauma.
Consider the need for immediate imaging or further evaluation if there are any concerning symptoms.
Used when performing a urinalysis that reveals microscopic hematuria.
Document the urinalysis results and any relevant patient history.
Ensure that the urinalysis is performed in accordance with laboratory standards.
Benign essential microscopic hematuria is characterized by the absence of symptoms and identifiable pathology, while other types of hematuria may be associated with urinary tract infections, kidney stones, or malignancies.
