Is R80.0 a billable ICD-10-CM code?

Yes. R80.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R80.0 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of urine, without diagnosis (R80-R82).

What cannot be coded together with R80.0?

R80.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R80.0

R80.0 — Isolated proteinuria

Billable / specific codeICD-10-CM

R80.0 is a billable, specific ICD-10-CM code for isolated proteinuria. 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.

isolated proteinuria with specific morphological lesion (N06.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Idiopathic proteinuria

Other codes that can never be billed with R80.0

These codes carry an Excludes1 note pointing at R80.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R80.0 alone.

N06Isolated proteinuria with specified morphological lesion

Risk adjustment

R80.0 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

R80.0 is named in 5 Medicare coverage policies — 5 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
A55717Billing and Coding: Lab: Flow Cytometry
A56464Billing and Coding: Flow Cytometry
A57643Billing and Coding: Lab: Cystatin C Measurement

How R80.0 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 R80.0.

Proteinuria›idiopathic
Proteinuria›isolated

Related codes at this level

Codes that share R80. If R80.0 is not quite right, the correct code is usually one of these.

Questions about R80.0

Is R80.0 a billable ICD-10-CM code?: Yes. R80.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R80.0 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of urine, without diagnosis (R80-R82).
What cannot be coded together with R80.0?: R80.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.