Is R39.2 a billable ICD-10-CM code?

Yes. R39.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R39.2 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 R39.2?

R39.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R39.2

R39.2 — Extrarenal uremia

Billable / specific codeICD-10-CM

R39.2 is a billable, specific ICD-10-CM code for extrarenal uremia. 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.

uremia NOS (N19)

Inclusion terms

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

Prerenal uremia

Other codes that can never be billed with R39.2

These codes carry an Excludes1 note pointing at R39.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R39.2 alone.

N19Unspecified kidney failure

Risk adjustment

R39.2 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

R39.2 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A53064Billing and Coding: Outpatient Occupational Therapy
A57050Billing and Coding: Post-Void Residual Urine and/or Bladder Capacity by Ultrasound

How R39.2 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 R39.2.

Retention›nitrogen, extrarenal
Uremia, uremic›extrarenal
Uremia, uremic›prerenal

Related codes at this level

Codes that share R39. If R39.2 is not quite right, the correct code is usually one of these.

Questions about R39.2

Is R39.2 a billable ICD-10-CM code?: Yes. R39.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R39.2 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 R39.2?: R39.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.