Other microscopic hematuria
ICD-10 R31.2 is a billable code used to indicate a diagnosis of other microscopic hematuria.
Microscopic hematuria is defined as the presence of red blood cells in the urine that can only be detected under a microscope. This condition may be asymptomatic or associated with various symptoms depending on the underlying cause. Common signs include dark or reddish urine, which may not always be present. Abnormal clinical findings may include urinary tract infections, kidney stones, or glomerular diseases. Laboratory findings typically involve urinalysis, which reveals red blood cells, and possibly other abnormalities such as proteinuria or leukocytes. The etiology of microscopic hematuria can range from benign causes, such as exercise-induced hematuria, to more serious conditions like malignancies or systemic diseases. Accurate diagnosis often requires a thorough clinical history, physical examination, and additional diagnostic tests such as imaging studies or cystoscopy to identify the underlying cause.
Detailed patient history, physical examination findings, and results from urinalysis and imaging studies.
Patients presenting with unexplained hematuria during routine check-ups or following urinary symptoms.
Consideration of chronic conditions such as diabetes or hypertension that may contribute to renal issues.
Acute care documentation including vital signs, immediate lab results, and any interventions performed.
Patients presenting with acute flank pain or urinary symptoms requiring urgent evaluation.
Rapid assessment of potential life-threatening conditions such as renal trauma or urosepsis.
Used to confirm the presence of hematuria during a routine visit.
Document the reason for urinalysis and any relevant symptoms.
In internal medicine, ensure comprehensive evaluation; in emergency medicine, document acute findings.
Microscopic hematuria is detected only under a microscope, while gross hematuria is visible to the naked eye. Accurate coding requires distinguishing between the two.
