Is R80.1 a billable ICD-10-CM code?

Yes. R80.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R80.1 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).

R80.1

R80.1 — Persistent proteinuria, unspecified

Billable / specific codeICD-10-CM

R80.1 is a billable, specific ICD-10-CM code for persistent proteinuria, unspecified. It is valid for submission on a claim.

Risk adjustment

R80.1 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

R80.1 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 R80.1 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 R80.1.

Proteinuria›persistent

Related codes at this level

Codes that share R80. If R80.1 is not quite right, the correct code is usually one of these.

Questions about R80.1

Is R80.1 a billable ICD-10-CM code?: Yes. R80.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R80.1 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).