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

2019 ICD-10-CM Diagnosis Code R04.81

Acute idiopathic pulmonary hemorrhage in infants

2016

2017

2018

2019

Billable/Specific Code

Pediatric Dx (0-17 years)

R04.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2019 edition of ICD-10-CM R04.81 became effective on October 1, 2018.
This is the American ICD-10-CM version of R04.81 - other international versions of ICD-10 R04.81 may differ.

ICD-10-CM Coding Rules

R04.81 is applicable to pediatric patients aged 0 - 17 years inclusive.

Applicable To

AIPHI
Acute idiopathic hemorrhage in infants over 28 days old

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R04.81. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

perinatal pulmonary hemorrhage (
ICD-10-CM Diagnosis Code P26
- P26 Pulmonary hemorrhage originating in the perin...
  - P26.0 Tracheobronchial hemorrhage originating in th...
  - P26.1 Massive pulmonary hemorrhage originating in t...
  - P26.8 Other pulmonary hemorrhages originating in th...
  - P26.9 Unspecified pulmonary hemorrhage originating ...
P26.-
)
von Willebrand's disease (
ICD-10-CM Diagnosis Code D68.0
Von Willebrand's disease
Applicable To
- Angiohemophilia
- Factor VIII deficiency with vascular defect
- Vascular hemophilia
Type 1 Excludes
- capillary fragility (hereditary) (D69.8)
- factor VIII deficiency NOS (D66)
- factor VIII deficiency with functional defect (D66)
D68.0
)

The following code(s) above R04.81 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 R04.81:

R00-R99
2019 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

Acute idiopathic neonatal pulmonary hemorrhage
Pulmonary hemorrhage in infants, acute idiopathic

ICD-10-CM R04.81 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

204 Respiratory signs and symptoms

Convert R04.81 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

Code annotations containing back-references to R04.81:

Type 1 Excludes: J84.03
, P26

ICD-10-CM Diagnosis Code J84.03
Idiopathic pulmonary hemosiderosis
Applicable To
- Essential brown induration of lung
Code First
- underlying disease, such as:
- disorders of iron metabolism (E83.1-)
Type 1 Excludes
- acute idiopathic pulmonary hemorrhage in infants [AIPHI] (R04.81)
ICD-10-CM Diagnosis Code P26
Pulmonary hemorrhage originating in the perinatal period
Type 1 Excludes
- acute idiopathic hemorrhage in infants over 28 days old (R04.81)

Diagnosis Index entries containing back-references to R04.81:

AIPHI R04.81 (acute idiopathic pulmonary hemorrhage in infants (over 28 days old))
Hemorrhage, hemorrhagic (concealed) R58
ICD-10-CM Diagnosis Code R58
Hemorrhage, not elsewhere classified
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)
- acute idiopathic pulmonary, in infants R04.81

ICD-10-CM Codes Adjacent To R04.81

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

R06.03 Acute respiratory distress

R06.09 Other forms of dyspnea

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

2019 ICD-10-CM Diagnosis Code R04.81

Acute idiopathic pulmonary hemorrhage in infants

Von Willebrand's disease

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

Idiopathic pulmonary hemosiderosis

Pulmonary hemorrhage originating in the perinatal period

Hemorrhage, not elsewhere classified