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v1.0.0
ICD-10 Guide
ICD-10 CodesR58

R58

Hemorrhage, not elsewhere classified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 R58 is a billable code used to indicate a diagnosis of hemorrhage, not elsewhere classified.

Key Diagnostic Point:

The ICD-10 code R58 refers to hemorrhage that is not classified elsewhere. This category encompasses various types of bleeding that do not fall under more specific codes, allowing healthcare providers to document instances of hemorrhage that may not have a clear etiology or specific classification. Conditions covered under this code can include spontaneous bleeding, bleeding due to trauma, or bleeding associated with other medical conditions that do not have a designated code. It is essential for clinicians to accurately identify and document the nature of the hemorrhage to ensure proper coding and billing practices.

  • The clinical significance of R58 lies in its ability to capture instances of hemorrhage that may require further investigation or intervention. Accurate coding of hemorrhage is crucial for patient management, as it can influence treatment decisions and outcomes. Additionally, the use of this code can help in tracking epidemiological trends related to bleeding disorders and can aid in research efforts aimed at understanding the underlying causes and implications of hemorrhage in various populations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions covered
  • Potential for misclassification
  • Need for thorough documentation

Audit Risk Factors

  • Inadequate documentation of hemorrhage type
  • Failure to specify underlying conditions
  • Potential for upcoding or downcoding based on clinical presentation

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Hematology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the R58 code category is significant, as it allows for the identification and tracking of hemorrhage cases that may require urgent medical intervention. Accurate coding can lead to improved patient outcomes through timely diagnosis and treatment. Furthermore, the data collected from the use of this code can contribute to population health studies aimed at understanding the prevalence and causes of hemorrhage, informing public health strategies and interventions.
Administratively, the use of R58 can influence healthcare trends, including resource allocation and quality measures. As healthcare systems strive to improve patient care and reduce costs, understanding the incidence and management of hemorrhage becomes vital. The data derived from R58 coding can help healthcare organizations identify areas for improvement, develop targeted quality improvement initiatives, and ultimately enhance the overall quality of care provided to patients.

ICD-9 vs ICD-10

The clinical impact of the R58 code category is significant, as it allows for the identification and tracking of hemorrhage cases that may require urgent medical intervention. Accurate coding can lead to improved patient outcomes through timely diagnosis and treatment. Furthermore, the data collected from the use of this code can contribute to population health studies aimed at understanding the prevalence and causes of hemorrhage, informing public health strategies and interventions. Administratively, the use of R58 can influence healthcare trends, including resource allocation and quality measures. As healthcare systems strive to improve patient care and reduce costs, understanding the incidence and management of hemorrhage becomes vital. The data derived from R58 coding can help healthcare organizations identify areas for improvement, develop targeted quality improvement initiatives, and ultimately enhance the overall quality of care provided to patients.

Reimbursement & Billing Impact

reimbursement. Providers should ensure that the medical necessity for the services rendered is clearly documented in the patient's medical record. This includes details about the hemorrhage, any diagnostic tests performed, and the treatment provided. It is also important to verify that the services billed correspond to the diagnosis, as discrepancies can lead to claim denials or audits.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for R58

Coding & Billing References

  • •
    Official ICD-10 Guidelines for R58

Frequently Asked Questions

What conditions are included in R58?

R58 includes various types of hemorrhage that do not have a specific classification, such as spontaneous bleeding, trauma-related bleeding, or bleeding associated with other unspecified medical conditions.

When should I use R58 codes?

R58 should be used when documenting instances of hemorrhage that are not classified under more specific codes, particularly when the cause of the bleeding is unclear or when it is associated with other conditions.

What documentation is required for R58?

Documentation should include a clear description of the type of hemorrhage, any relevant clinical findings, and the context in which the bleeding occurred to support the use of R58.