ICD-10-CM Codes
R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R00-R09 Symptoms and signs involving the circulatory and respiratory systems
R04- Hemorrhage from respiratory passages
2020 ICD-10-CM Diagnosis Code R04.2

2020 ICD-10-CM Diagnosis Code R04.2

Hemoptysis

2016

2017

2018

2019

2020

Billable/Specific Code

R04.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2020 edition of ICD-10-CM R04.2 became effective on October 1, 2019.
This is the American ICD-10-CM version of R04.2 - other international versions of ICD-10 R04.2 may differ.

Applicable To

Blood-stained sputum
Cough with hemorrhage

The following code(s) above R04.2 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 R04.2:

R00-R99
2020 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

Hemoptysis (coughing blood)

Clinical Information

Coughing or spitting up blood from the respiratory tract.
Coughing up blood from the respiratory tract.
Expectoration or spitting of blood originating from any part of the respiratory tract, usually from hemorrhage in the lung parenchyma (pulmonary alveoli) and the bronchial arteries.

ICD-10-CM R04.2 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):

204 Respiratory signs and symptoms

Convert R04.2 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

Code annotations containing back-references to R04.2:

Type 1 Excludes: R05
, R09.3
, R84

ICD-10-CM Diagnosis Code R05
Cough
Type 1 Excludes
- cough with hemorrhage (R04.2)
- smoker's cough (J41.0)
ICD-10-CM Diagnosis Code R09.3
Abnormal sputum
Applicable To
- Abnormal amount of sputum
- Abnormal color of sputum
- Abnormal odor of sputum
- Excessive sputum
Type 1 Excludes
- blood-stained sputum (R04.2)
ICD-10-CM Diagnosis Code R84
Abnormal findings in specimens from respiratory organs and thorax
Includes
- abnormal findings in bronchial washings
- abnormal findings in nasal secretions
- abnormal findings in pleural fluid
- abnormal findings in sputum
- abnormal findings in throat scrapings
Type 1 Excludes
- blood-stained sputum (R04.2)
Type 2 Excludes: R04.1

ICD-10-CM Diagnosis Code R04.1
Hemorrhage from throat
Type 2 Excludes
- hemoptysis (R04.2)

Diagnosis Index entries containing back-references to R04.2:

Hemoptysis R04.2
Sputum
- blood-stained R04.2

ICD-10-CM Codes Adjacent To R04.2

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

R06 Abnormalities of breathing

R06.0 Dyspnea

R06.00 …… unspecified

R06.01 Orthopnea

R06.02 Shortness of breath

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

2020 ICD-10-CM Diagnosis Code R04.2

Hemoptysis

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

Cough

Abnormal sputum

Abnormal findings in specimens from respiratory organs and thorax

Hemorrhage from throat