Recurrent and persistent hematuria w oth morphologic changes

This code signifies the presence of blood in the urine that is both recurring and ongoing, accompanied by observable structural alterations in the kidney or urinary tract. These morphologic changes are distinct from those specifically classified elsewhere (e.g., thin basement membrane disease, IgA nephropathy). It indicates a chronic or persistent underlying renal or urinary pathology.

Apply this code when documentation confirms persistent or intermittent hematuria alongside findings of kidney or urinary tract abnormalities on biopsy, imaging, or gross examination, which are not otherwise specified. This is appropriate when the specific cause of the morphologic change is unknown or not classifiable to a more precise code. Supporting documentation includes pathology reports, imaging studies (e.g., renal ultrasound, CT scan), and physician notes detailing the chronicity of hematuria and observed structural changes.

• Do not use this code if a more specific diagnosis for the morphologic change (e.g., N02.0-N02.7) is documented.
• Always sequence this code after the definitive diagnosis for the underlying renal disease, if known and more specific.
• Ensure documentation clearly distinguishes between transient hematuria and the recurrent/persistent nature required for this code.