DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R04 Hemorrhage from respiratory passages

  • Header · not billable

R04 is not billable. The category heads 6 billable codes in FY2027, grouped under 5 subdivisions.

Index → code

Billable codes
6
Subdivisions
5
CC / MCC codes
4 / 0
HCC V28 codes
0
New FY2027
0
Index entries
18

Codes in R04

  1. R04.0
    Epistaxis
    Billable
    Inclusion terms 2

    Inclusion terms

    • Hemorrhage from nose
    • Nosebleed
  2. R04.1
    Hemorrhage from throat
    Billable
    Excludes2 1

    Excludes2

  3. R04.2
    Hemoptysis
    BillableCC
    Inclusion terms 2

    Inclusion terms

    • Blood-stained sputum
    • Cough with hemorrhage
  4. R04.8
    Hemorrhage from other sites in respiratory passages
    Header
  5. R04.81
    Acute idiopathic pulmonary hemorrhage in infants
    BillableCC
    Inclusion terms 2, Excludes1 2

    Inclusion terms

    • AIPHI
    • Acute idiopathic hemorrhage in infants over 28 days old

    Excludes1

    • perinatal pulmonary hemorrhage (P26.-) P26
    • von Willebrand disease (D68.0-) D68.0
  6. R04.89
    Hemorrhage from other sites in respiratory passages
    BillableCC
    Inclusion terms 1

    Inclusion terms

    • Pulmonary hemorrhage NOS
  7. R04.9
    Hemorrhage from respiratory passages, unspecified
    BillableCC

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

Notes that also apply

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Epistaxis (multiple) → R04.0
  • Nosebleed → R04.0
  • Hemoptysis → R04.2
  • AIPHI (acute idiopathic pulmonary hemorrhage in infants (over 28 days old)) → R04.81
  • Bleedingnose → R04.0
  • Hemorrhage, hemorrhagic (concealed)nasal turbinate → R04.0
  • Hemorrhage, hemorrhagic (concealed)nose → R04.0
  • Hemorrhage, hemorrhagic (concealed)postnasal → R04.0
  • Bleedingthroat → R04.1
  • Hemorrhage, hemorrhagic (concealed)hypopharyngeal (throat) → R04.1
  • Hemorrhage, hemorrhagic (concealed)throat → R04.1
  • Sputumblood-stained → R04.2
  • Hemorrhage, hemorrhagic (concealed)acute idiopathic pulmonary, in infants → R04.81
  • Hemorrhage, hemorrhagic (concealed)lung → R04.89
  • Hemorrhage, hemorrhagic (concealed)pulmonary → R04.89
  • Hemorrhage, hemorrhagic (concealed)tracheobronchial → R04.89
  • Hemorrhage, hemorrhagic (concealed)respiratory passage or tract → R04.9
  • Hemorrhage, hemorrhagic (concealed)respiratory passage or tractspecified NEC → R04.89

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