Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesSymptoms and signs involving the circulatory and respiratory systemsICD-10-CM r04-hemorrhage-from-respiratory-passages
    Ask Trek AI about this page

    ICD-10-CM Code For Hemorrhage From Respiratory Passages: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group R04 includes diagnoses for bleeding from the respiratory passages such as epistaxis, hemoptysis, and other hemorrhages of the nose, throat, bronchi, and lungs. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving acute or recurrent respiratory tract bleeding, capturing severity, anatomical source, and any associated complications. Accurate coding within the ICD-10-CM R04 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Hemorrhage From Respiratory Passages: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM R04: Hemorrhage From Respiratory Passages Overview

    The diagnoses in this group represent bleeding originating from the upper and lower respiratory tract, including nosebleeds and bleeding from the throat, bronchi, or lungs. They target the respiratory and adjacent vascular structures and encompass both acute and recurrent hemorrhagic presentations. Accurate coding is important for correct clinical documentation and supports appropriate reimbursement by reflecting the severity and source of bleeding.

    Table of contents

    Progress1 / 5

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when there is documented bleeding from the nasal cavity, pharynx, trachea, bronchi, or lungs recorded in the clinical record. Select the most specific code that identifies the anatomic site and whether the bleeding is recurrent or associated with other conditions.

    ICD-10-CM Codes

    6 rows

    ICD-10-CM CodeDescription
    R04.0Epistaxis
    R04.1Hemorrhage from throat
    R04.2Hemoptysis
    R04.81Acute idiopathic pulmonary hemorrhage in infants
    R04.89Hemorrhage from other sites in respiratory passages
    R04.9Hemorrhage from respiratory passages, unspecified

    DRG Codes

    9 rows

    DRG CodeDescription
    011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
    012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
    013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
    150Epistaxis with MCC
    151Epistaxis without MCC
    154Other Ear, Nose, Mouth and Throat Diagnoses with MCC
    155Other Ear, Nose, Mouth and Throat Diagnoses with CC
    156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC
    204Respiratory Signs and Symptoms

    Related Codes

    R00-ABNORMALITIES-OF-HEART-BEAT

    ICD-10-CM Code For Abnormalities Of Heart Beat: Group Overview

    R01-CARDIAC-MURMURS-AND-OTHER-CARDIAC-SOUNDS

    ICD-10-CM Code For Cardiac Murmurs And Other Cardiac Sounds: Group Overview

    R03-ABNORMAL-BLOOD-PRESSURE-READING

    ICD-10-CM Code For Abnormal Blood-Pressure Reading Without Diagnosis: Group Overview

    R05-COUGH

    ICD-10-CM Code For Cough: Group Overview

    R06-ABNORMALITIES-OF-BREATHING

    ICD-10-CM Code For Abnormalities Of Breathing: Group Overview

    R07-PAIN-IN-THROAT-AND-CHEST

    ICD-10-CM Code For Pain In Throat And Chest: Group Overview

    R09-OTHER-SYMPTOMS-AND-SIGNS

    ICD-10-CM Code For Other Symptoms And Signs Involving The Circulatory And Respiratory System: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.