R34 ICD-10-CM Code: Anuria and oliguria
R34 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools
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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Symptoms and signs involving the genitourinary system (R30-R39)
R34
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceAnuria and oliguria
A condition where a person produces little to no urine, which can indicate serious kidney or urinary system problems.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for R34. Check the code and parent instructions in the Code Book.
Excludes 2
Official- abnormal findings on antenatal screening of mother (O28.-)Inherited from R00-R99
- certain conditions originating in the perinatal period (P04-P96)Inherited from R00-R99
- signs and symptoms classified in the body system chaptersInherited from R00-R99
- signs and symptoms of breast (N63, N64.5)Inherited from R00-R99
Related Codes
No related codes are included in this display for R34. Check the Code Book for the complete code path.
Includes
OfficialNo Includes notes are included in this display for R34. Check the code and parent instructions in the Code Book.
Excludes 1
Official- anuria and oliguria complicating abortion or ectopic or molar pregnancy (O00-O07, O08.4)
- anuria and oliguria complicating pregnancy (O26.83-)
- anuria and oliguria complicating the puerperium (O90.49)
Code First
OfficialNo Code First sequencing instructions are included in this display for R34. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for R34. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for R34. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is R34 an HCC code?
No. R34 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- R34
- Description
- Anuria and oliguria
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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What This Code Means
R34 is the ICD-10-CM diagnosis code for anuria and oliguria. A condition where a person produces little to no urine, which can indicate serious kidney or urinary system problems. R34 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving the genitourinary system (r30-r39).
R34 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.
Anuria (no urine output) and oliguria (very low urine output) are both included; document which condition is present if possible.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for R34 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Anuria (no urine output) and oliguria (very low urine output) are both included; document which condition is present if possible
- •This symptom often requires urgent investigation and may indicate acute kidney injury or other serious conditions

