2026 ICD-10-CM Diagnosis Code R04.89Hemorrhage from other sites in respiratory passages

ICD-10-CM Codes›R00–R99›R00-R09›R04

ICD-10-CM R04.89
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R04.89 is a billable ICD-10-CM diagnosis code for hemorrhage from other sites in respiratory passages. 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory signs and symptoms.

Code Identity

ICD-10-CM Code
R04.89
Billable Status
Yes — Valid for Submission
Code Describes
Hemorrhage from other sites in respiratory passages
Short Description
Hemorrhage from other sites in respiratory passages
Same as the full description in the CMS dataset.
Parent Code
R04.8
Hemorrhage from other sites in respiratory passages

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR00-R09Symptoms and signs involving the circulatory and respiratory systems
CategoryR04Hemorrhage from respiratory passages
This CodeR04.89Hemorrhage from other sites in respiratory passages

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bronchial hemorrhage
  • Chickenpox pneumonia
  • Diffuse alveolar hemorrhage
  • Hemorrhagic pneumonia
  • Hemorrhagic pulmonary edema
  • Hemorrhagic varicella pneumonia
  • Pulmonary apoplexy
  • Pulmonary hemorrhage
  • Pulmonary hemorrhage due to leptospirosis
  • Tracheal hemorrhage
  • Tracheobronchial hemorrhage

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Pulmonary hemorrhage NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hemorrhage, hemorrhagic(concealed)
      • lung
    • Hemorrhage, hemorrhagic(concealed)
      • pulmonary
    • Hemorrhage, hemorrhagic(concealed)
      • respiratory passage or tract
        • specified NEC
    • Hemorrhage, hemorrhagic(concealed)
      • tracheobronchial

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM013
Respiratory signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Bronchial Hemorrhage|Bronchopulmonary Hemorrhage|Bronchopulmonary hemorrhage

    bleeding from the bronchial wall and/or lung parenchyma.

  • Bronchopulmonary Hemorrhage, CTCAE|Bronchopulmonary Hemorrhage|Bronchopulmonary hemorrhage

    a disorder characterized by bleeding from the bronchial wall and/or lung parenchyma.

  • Grade 1 Bronchopulmonary Hemorrhage, CTCAE|Grade 1 Bronchopulmonary hemorrhage

    mild symptoms; intervention not indicated

  • Grade 1 Neonatal Pulmonary Hemorrhage, AE|Grade 1 Neonatal Pulmonary Hemorrhage|Grade 1 Neonatal Pulmonary Hemorrhage, Adverse Event

    an adverse event in a newborn characterized by limited hemorrhagic secretion in an endotracheal (et) tube.

  • Grade 2 Bronchopulmonary Hemorrhage, CTCAE|Grade 2 Bronchopulmonary hemorrhage

    moderate symptoms; invasive intervention not indicated

  • Grade 2 Neonatal Pulmonary Hemorrhage, AE|Grade 2 Neonatal Pulmonary Hemorrhage|Grade 2 Neonatal Pulmonary Hemorrhage, Adverse Event

    an adverse event in a newborn characterized by hemorrhagic secretion in an endotracheal (et) tube; without relevant increase in partial pressure of carbon dioxide (pco2) or decrease in oxygenation; requiring minor changes in care (e.g. increase in positive end-expiration pressure (peep)).

  • Grade 3 Bronchopulmonary Hemorrhage, CTCAE|Grade 3 Bronchopulmonary hemorrhage

    transfusion indicated; invasive intervention indicated; hospitalization

  • Grade 3 Neonatal Pulmonary Hemorrhage, AE|Grade 3 Neonatal Pulmonary Hemorrhage|Grade 3 Neonatal Pulmonary Hemorrhage, Adverse Event

    an adverse event in a newborn characterized by hemorrhagic secretion in an endotracheal (et) tube; with relevant increase in partial pressure of carbon dioxide (pco2) or decrease in oxygenation; requiring major change in ventilatory support or transfusion.

  • Grade 4 Bronchopulmonary Hemorrhage, CTCAE|Grade 4 Bronchopulmonary hemorrhage

    life-threatening consequences; intubation or urgent intervention indicated

  • Grade 4 Neonatal Pulmonary Hemorrhage, AE|Grade 4 Neonatal Pulmonary Hemorrhage|Grade 4 Neonatal Pulmonary Hemorrhage, Adverse Event

    a pulmonary hemorrhage adverse event in a newborn characterized by life-threatening respiratory and/or hemodynamic compromise.

  • Grade 5 Bronchopulmonary Hemorrhage, CTCAE|Grade 5 Bronchopulmonary hemorrhage

    death

  • Grade 5 Neonatal Pulmonary Hemorrhage, AE|Grade 5 Neonatal Pulmonary Hemorrhage|Grade 5 Neonatal Pulmonary Hemorrhage, Adverse Event

    a pulmonary hemorrhage adverse event in a newborn which results in death.

  • Neonatal Pulmonary Hemorrhage, AE|Neonatal Pulmonary Hemorrhage|Neonatal Pulmonary Hemorrhage, Adverse Event|Neonatal pulmonary hemorrhage

    an adverse event in a newborn characterized by bleeding in the respiratory tract of a neonate.

  • Pulmonary Hemorrhage

    bleeding from the lung parenchyma.

  • Grade 3 Bronchopulmonary Hemorrhage, CTCAE|Grade 3 Bronchopulmonary hemorrhage

    hospitalization

Convert R04.89 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
786.39 Hemoptysis NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About R04.89Overview

Is R04.89 (Hemorrhage from other sites in respiratory passages) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hemorrhage from other sites in respiratory passages on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Can R04.89 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the hemorrhage from other sites in respiratory passages is established, that condition takes the principal position instead.

What is the ICD-9 equivalent of R04.89?

Under the General Equivalence Mappings, hemorrhage from other sites in respiratory passages converts to ICD-9-CM 786.39 (hemoptysis NEC). 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.