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v1.0.0
ICD-10 Guide
ICD-10 CodesR04.8

R04.8

Hemorrhage from other sites in respiratory passages

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R04.8 is a billable code used to indicate a diagnosis of hemorrhage from other sites in respiratory passages.

Key Diagnostic Point:

Hemorrhage from other sites in the respiratory passages refers to bleeding that occurs in areas of the respiratory system not specifically classified under other codes. This can include bleeding from the trachea, bronchi, or other parts of the respiratory tract that do not fall under more specific hemorrhage codes. Symptoms may include coughing up blood (hemoptysis), which can vary in volume and frequency. The presence of blood in the respiratory passages can indicate underlying conditions such as infections, malignancies, or trauma. Clinical evaluation often involves imaging studies, bronchoscopy, and laboratory tests to determine the source and cause of the hemorrhage. Accurate diagnosis is crucial as it guides treatment and management strategies. Common causes include bronchitis, pneumonia, pulmonary embolism, and neoplasms. The clinical context is essential for determining the appropriate management and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for thorough clinical documentation
  • Differentiation from other respiratory hemorrhage codes
  • Potential for misclassification with other bleeding disorders

Audit Risk Factors

  • Inadequate documentation of the source of hemorrhage
  • Failure to specify the underlying cause
  • Misuse of related codes leading to upcoding or downcoding
  • Lack of clarity in clinical notes regarding symptoms

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history and physical examination notes, including the patient's symptoms, duration, and any associated conditions.

Common Clinical Scenarios

Patients presenting with unexplained hemoptysis, chronic cough with blood, or post-infectious bleeding.

Billing Considerations

Ensure that all potential causes are explored and documented, including any relevant imaging or lab results.

Emergency Medicine

Documentation Requirements

Acute care documentation must include vital signs, initial assessment findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients with acute onset of hemoptysis, trauma-related bleeding, or severe respiratory distress.

Billing Considerations

Rapid assessment and documentation of the patient's condition are critical for accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use R04.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the hemorrhage is not classified elsewhere
  • Document the clinical findings that support the diagnosis and any relevant tests performed

Exclusion Criteria

Do NOT use R04.8 When
No specific exclusions found.

Related CPT Codes

31625CPT Code

Bronchoscopy, rigid or flexible

Clinical Scenario

Used when evaluating the source of respiratory hemorrhage.

Documentation Requirements

Document indication for bronchoscopy, findings, and any interventions performed.

Specialty Considerations

Ensure that the procedure is linked to the diagnosis of hemorrhage.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of respiratory hemorrhages, improving the granularity of data collection and enhancing the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of respiratory hemorrhages, improving the granularity of data collection and enhancing the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of respiratory hemorrhages, improving the granularity of data collection and enhancing the ability to track and manage these conditions effectively.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of hemorrhage from other sites in respiratory passages?

Common causes include infections like pneumonia, malignancies, trauma, and vascular abnormalities such as pulmonary embolism.