Hemoptysis
ICD-10 R04.2 is a billable code used to indicate a diagnosis of hemoptysis.
Hemoptysis refers to the expectoration of blood or blood-stained sputum from the respiratory tract, specifically from the lungs or bronchi. It can range from small streaks of blood to large volumes of blood, and its presence often indicates an underlying pathology. Common causes include infections such as pneumonia or tuberculosis, malignancies, pulmonary embolism, and chronic bronchitis. The clinical context is critical, as hemoptysis can be a sign of serious conditions requiring immediate evaluation. Diagnostic approaches typically involve a thorough history and physical examination, imaging studies like chest X-rays or CT scans, and possibly bronchoscopy to visualize the airways. Laboratory tests may include complete blood counts, coagulation profiles, and sputum cultures to identify infectious agents. The severity and frequency of hemoptysis can guide the urgency of intervention and further diagnostic workup.
Detailed history of the hemoptysis episode, including onset, duration, and associated symptoms.
Patients presenting with chronic cough and hemoptysis, often requiring extensive workup.
Consideration of comorbidities such as COPD or cancer history that may complicate the diagnosis.
Acute presentation details, including vital signs and immediate interventions.
Patients with sudden onset hemoptysis, often requiring rapid imaging and stabilization.
Need for quick decision-making and documentation of life-threatening conditions.
Used in conjunction with hemoptysis evaluation to assess lung function.
Document the reason for testing and results.
Internal medicine may focus on chronic conditions, while emergency medicine may prioritize acute assessments.
Hemoptysis is the expectoration of blood from the respiratory tract, while hematemesis refers to vomiting blood from the gastrointestinal tract. Accurate documentation is essential to differentiate between the two.
