Is R36.1 a billable ICD-10-CM code?

Yes. R36.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R36.1 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).

R36.1

R36.1 — Hematospermia

Billable / specific codeICD-10-CM

R36.1 is a billable, specific ICD-10-CM code for hematospermia. It is valid for submission on a claim.

Risk adjustment

R36.1 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

R36.1 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57427Billing and Coding: Transrectal Ultrasound

How R36.1 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 R36.1.

Hematospermia
Discharge›urethral›hematospermia

Related codes at this level

Codes that share R36. If R36.1 is not quite right, the correct code is usually one of these.

Questions about R36.1

Is R36.1 a billable ICD-10-CM code?: Yes. R36.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R36.1 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).