R34 — Anuria and oliguria
R34 is a billable, specific ICD-10-CM code for anuria and oliguria. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with R34
These codes carry an Excludes1 note pointing at R34. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R34 alone.
- O90.4Postpartum acute kidney failure
Risk adjustment
R34 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
R34 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56802Billing and Coding: Urodynamics
- A57050Billing and Coding: Post-Void Residual Urine and/or Bladder Capacity by Ultrasound
- A57455Billing and Coding: Urodynamics
How R34 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R34.
- Anuria
- Ischuria
- Oliguria
- Urodialysis
- Suppression›urine, urinary secretion
- Deficiency, deficient›secretion›urine
- Secretion›urinary›suppression
- Urine›secretion›deficient
Questions about R34
- Is R34 a billable ICD-10-CM code?
- Yes. R34 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R34 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the genitourinary system (R30-R39).
- What cannot be coded together with R34?
- R34 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.