2026 ICD-10-CM Diagnosis Code R04.2Hemoptysis
ICD-10-CM Codes›R00–R99›R00-R09›R04
- Billable — Valid for Submission
- Not Chronic
R04.2 is a billable ICD-10-CM diagnosis code for hemoptysis. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as blood streaked sputum. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory signs and symptoms.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Blood streaked sputum
- Bloodstained sputum
- Frank blood in sputum
- Hemoptysis
- Sputum: contains blood
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Blood-stained sputum
- Cough with hemorrhage
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Hemoptysis - R04.2
- Sputum
- blood-stained - R04.2
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Hemoptysis
- Sputum
- blood-stained
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Hemoptysis
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.
Patient EducationClinical
Cough
Coughing is a reflex that keeps your throat and airways clear. Although it can be annoying, coughing helps your body heal or protect itself. Coughs can be either acute or chronic. Acute coughs begin suddenly and usually last no more than 2 to 3 weeks. Acute coughs are the kind you most often get with a cold, flu, or acute bronchitis.
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Convert R04.2 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R04.2Overview
Is R04.2 (Hemorrhage from respiratory passages) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hemoptysis on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Can R04.2 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the hemoptysis is established, that condition takes the principal position instead.
What is the ICD-9 equivalent of R04.2?
Under the General Equivalence Mappings, hemoptysis converts to ICD-9-CM 786.30 (hemoptysis NOS). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
