R31.29 Other microscopic hematuria

ICD10CM code

#### Name of the Condition
- Other Microscopic Hematuria

#### Summary
- Other Microscopic Hematuria refers to the presence of an abnormal quantity of red blood cells in the urine, detectable only through a microscope. It often doesn't change the urine's color, but indicates an underlying issue that may require further investigation.

#### Causes
- Infections in the urinary system, kidney stones, or an underlying kidney disease are among the common causes. In some cases, vigorous exercise can also lead to temporary microscopic hematuria.

#### Risk Factors
- Risk factors include a family history of kidney disease, recent infections, strenuous exercise, or having conditions such as diabetes or hypertension that affect the kidneys.

#### Symptoms
- Often, microscopic hematuria has no visible symptoms and is typically discovered during routine urine tests.

#### Diagnosis
- Diagnosing microscopic hematuria involves urinalysis to detect red blood cells and possible further tests like imaging (ultrasound, CT scan) or cystoscopy to identify the underlying cause.

#### Treatment Options
- Treatment depends on the underlying cause. For instance, antibiotics may be prescribed for infections, while medications or procedures may be needed for kidney stones or other serious conditions.

#### Prognosis and Follow-Up
- The prognosis varies with the underlying cause. Regular follow-up with a healthcare provider is essential to monitor kidney function and prevent complications.

#### Complications
- If not managed, underlying conditions causing microscopic hematuria can lead to more severe kidney problems or systemic infections.

#### Lifestyle & Prevention
- Staying hydrated, maintaining a balanced diet, exercising moderately, and controlling conditions like diabetes and high blood pressure can help manage and prevent microscopic hematuria.

#### When to Seek Professional Help
- Seek medical attention if persistent or recurrent hematuria occurs, especially if accompanied by pain, fever, or any other concerning symptoms.

#### Additional Resources
- National Kidney Foundation: [www.kidney.org](https://www.kidney.org)
- American Urological Association: [www.auanet.org](https://www.auanet.org)

#### Tips for Medical Coders
- Ensure accurate documentation of the specific ICD code R31.29 for "Other Microscopic Hematuria" by confirming that visible hematuria or specific identified causes are not present.
- Avoid coding errors by distinguishing this condition from other forms of hematuria such as "gross hematuria," which are visible to the naked eye.

Medical Policies and Guidelines for Other microscopic hematuria

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