2023 ICD-10-CM Diagnosis Code R04.0

Epistaxis

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • R04.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM R04.0 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R04.0 - other international versions of ICD-10 R04.0 may differ.
Applicable To
  • Hemorrhage from nose
  • Nosebleed
The following code(s) above R04.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R04.0:
  • R00-R99
    2023 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Approximate Synonyms
  • Anterior epistaxis
  • Epistaxis (nosebleed)
  • Epistaxis, anterior
  • Posterior epistaxis
Clinical Information
  • A disorder characterized by bleeding from the nose.
  • Bleeding from the nose.
ICD-10-CM R04.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 150 Epistaxis with mcc
  • 151 Epistaxis without mcc

Convert R04.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to R04.0:
  • Bleeding - see also Hemorrhage
    • nose R04.0
  • Epistaxis (multiple) R04.0
  • Hemorrhage, hemorrhagic (concealed) R58
    ICD-10-CM Diagnosis Code R58

    Hemorrhage, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Hemorrhage NOS
    Type 1 Excludes
    • hemorrhage included with underlying conditions, such as:
    • acute duodenal ulcer with hemorrhage (K26.0)
    • acute gastritis with bleeding (K29.01)
    • ulcerative enterocolitis with rectal bleeding (K51.01)
  • Nosebleed R04.0

ICD-10-CM Codes Adjacent To R04.0
R00.8 Other abnormalities of heart beat
R00.9 Unspecified abnormalities of heart beat
R01 Cardiac murmurs and other cardiac sounds
R01.0 Benign and innocent cardiac murmurs
R01.1 Cardiac murmur, unspecified
R01.2 Other cardiac sounds
R03 Abnormal blood-pressure reading, without diagnosis
R03.0 Elevated blood-pressure reading, without diagnosis of hypertension
R03.1 Nonspecific low blood-pressure reading
R04 Hemorrhage from respiratory passages
R04.0 Epistaxis
R04.1 Hemorrhage from throat
R04.2 Hemoptysis
R04.8 Hemorrhage from other sites in respiratory passages
R04.81 Acute idiopathic pulmonary hemorrhage in infants
R04.89 Hemorrhage from other sites in respiratory passages
R04.9 Hemorrhage from respiratory passages, unspecified
R05 Cough
R05.1 Acute cough
R05.2 Subacute cough
R05.3 Chronic cough

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.