N02 ICD-10-CM Code: Recurrent and persistent hematuria
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 4 Excludes1 · 1 code-also instruction
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for N02 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Notes without a marker are published on N02 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- acute cystitis with hematuria (N30.01) Compare N02 vs N30.01 →
- hematuria NOS (R31.9) Compare N02 vs R31.9 →
- hematuria not associated with specified morphologic lesions (R31.-) Compare N02 vs R31 →
- hypertensive chronic kidney disease (I12.-) inherited from N00-N08Compare N02 vs I12 →
Coder workflow for N02
MedCoder structured workflow — derived from this code’s own official record
Before you code N02
- N02 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewN02.0, N02.1, N02.2, N02.3, N02.4, N02.5, N02.6, N02.7, N02.8, N02.9, N02.A, N02.B
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with N02. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support one of the more specific codes beneath N02?
Yes → Select that code and continue the checks below on its own page.
No → N02 cannot be reported as written; query for the specificity its subcategory needs.ReviewN02.0, N02.1, N02.2, N02.3, N02.4, N02.5, N02.6, N02.7, N02.8, N02.9, N02.A, N02.B
- Does the documentation support a condition named in N02’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.
Consider N02. Then review the Code Also note, and confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Official instructions as workflow
Excludes1 — check before selecting N02(4 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with N02: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareN30.01, R31.9, R31, I12
See the official tabular notes · Guidelines I.A.12.a
Code Also — related condition(1 note)
Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.
See the official tabular notes · Guidelines I.A.17
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition N02 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name N02 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes1 note: R31 — Hematuria.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Referenced by 1 Excludes2 note: N39 — Other disorders of urinary system.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of N02 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run N02 with these 8 related codes in Claim Check
Hierarchy
- N00-N99 — Chapter 14: Diseases of the Genitourinary System (N00-N99) (N00-N99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N00-N08 — Glomerular diseases[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Excludes1
- I12 — Hypertensive chronic kidney disease[Excludes1]: “hypertensive chronic kidney disease (I12.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- N30.01 — Acute cystitis with hematuria[Excludes1]: “acute cystitis with hematuria (N30.01)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R31 — Hematuria[Excludes1]: “hematuria not associated with specified morphologic lesions (R31.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- R31.9 — Hematuria, unspecified[Excludes1]: “hematuria NOS (R31.9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Code Also
- N17 — Acute kidney failure[Code Also]: “any associated kidney failure (N17-N19).”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- N18 — Chronic kidney disease (CKD)[Code Also]: “any associated kidney failure (N17-N19).”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- N19 — Unspecified kidney failure[Code Also]: “any associated kidney failure (N17-N19).”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes1 notes
- R31 — Hematuria[Excludes1]: “recurrent and persistent hematuria in glomerular diseases (N02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- N39 — Other disorders of urinary system[Excludes2]: “recurrent or persistent hematuria (N02.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (19)
- N02.0 — Recurrent and persistent hematuria with minor glomerular abnormality[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N02.1 — Recurrent and persistent hematuria with focal and segmental glomerular lesions[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N02.2 — Recurrent and persistent hematuria with diffuse membranous glomerulonephritis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N02.3 — Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N02.4 — Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N02.5 — Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N02.6 — Recurrent and persistent hematuria with dense deposit disease[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- N02.7 — Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 11 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can N02 be billed directly?
No. N02 (Recurrent and persistent hematuria) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "N02 — Recurrent and persistent hematuria." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/n02-recurrent-and-persistent-hematuria
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionRecurrent and persistent hematuria
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to N02 in its code family, with their registry titles.
- N02.0 — Recurrent and persistent hematuria with minor glomerular abnormality
- N02.1 — Recurrent and persistent hematuria with focal and segmental glomerular lesions
- N02.2 — Recurrent and persistent hematuria with diffuse membranous glomerulonephritis
- N02.3 — Recurrent and persistent hematuria with diffuse mesangial proliferative glomerulonephritis
- N02.4 — Recurrent and persistent hematuria with diffuse endocapillary proliferative glomerulonephritis
- N02.5 — Recurrent and persistent hematuria with diffuse mesangiocapillary glomerulonephritis
- N02.6 — Recurrent and persistent hematuria with dense deposit disease
- N02.7 — Recurrent and persistent hematuria with diffuse crescentic glomerulonephritis
- N02.8 — Recurrent and persistent hematuria with other morphologic changes
- N02.9 — Recurrent and persistent hematuria with unspecified morphologic changes
- N02.A — Recurrent and persistent hematuria with C3 glomerulonephritis
- N02.B — Recurrent and persistent immunoglobulin A nephropathy
- N02.B1 — Recurrent and persistent immunoglobulin A nephropathy with glomerular lesion
- N02.B2 — Recurrent and persistent immunoglobulin A nephropathy with focal and segmental glomerular lesion
- N02.B3 — Recurrent and persistent immunoglobulin A nephropathy with diffuse membranoproliferative glomerulonephritis
- N02.B4 — Recurrent and persistent immunoglobulin A nephropathy with diffuse membranous glomerulonephritis
- N02.B5 — Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangial proliferative glomerulonephritis
- N02.B6 — Recurrent and persistent immunoglobulin A nephropathy with diffuse mesangiocapillary glomerulonephritis
- N02.B9 — Other recurrent and persistent immunoglobulin A nephropathy