AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Quarter 4; ICD-10-CM NEW/REVISED CODES
Microscopic Hematuria
A 48-year-old female patient was seen by her primary care physician for her annual exam, which included laboratory work. There were no abnormal findings during the visit; however, three days later, after a lab finding of hematuria, the primary care physician referred the patient for outpatient urology consultation with a diagnosis of “asymptomatic microscopic hematuria.” What is the correct code assignment for asymptomatic microscopic hematuria? ...
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Article Overview
This article covers a change in the ICD-10-CM classification of microscopic hematuria and places that topic in a broader clinical context. It is relevant to coders, billers, and urology-focused staff who need to understand how the condition is discussed in documentation and why the terminology matters for code selection. The article also includes a brief clinical scenario framed as a coding question.
Why This Topic Matters
Microscopic hematuria is a common reason for urology evaluation, and the article highlights that terminology changes can affect how documentation is interpreted in coding workflows.
Article Sections
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ICD-10-CM code expansion
Summarizes the classification change affecting microscopic hematuria and the organization involved in requesting a more specific code.
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Clinical background and referral context
Reviews the general medical meaning of hematuria, distinguishes broad clinical forms, and notes common reasons this finding may be evaluated in urology.
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Clinical example and coding question
Presents a brief outpatient scenario involving a lab finding and referral, followed by a question about code assignment.
What You Will Learn
- How microscopic hematuria is discussed in the context of ICD-10-CM updates
- Why the topic is relevant in urology referral and evaluation settings
- How the article frames a documentation-based coding question using a short clinical scenario
- The broader clinical context surrounding hematuria terminology
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Urology practice staff
- Clinical documentation teams
Codes Discussed
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