2026 ICD-10-CM Diagnosis Code R04.9Hemorrhage from respiratory passages, unspecified

ICD-10-CM Codes›R00–R99›R00-R09›R04

ICD-10-CM R04.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R04.9 is a billable ICD-10-CM diagnosis code for hemorrhage from respiratory passages, unspecified. 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 in upper airway. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory signs and symptoms.

Code Identity

ICD-10-CM Code
R04.9
Billable Status
Yes — Valid for Submission
Code Describes
Hemorrhage from respiratory passages, unspecified
Short Description
Hemorrhage from respiratory passages, unspecified
Same as the full description in the CMS dataset.
Parent Code
R04
Hemorrhage from 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 CodeR04.9Hemorrhage from respiratory passages, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Blood in upper airway
  • Respiratory tract hemorrhage

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)
      • respiratory passage or tract

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

  • Respiratory Tract Hemorrhage

    bleeding originating from any part of the respiratory tract.

Convert R04.9 to ICD-9-CMHistory

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

ICD-9-CM
786.30 Hemoptysis NOS
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 R04.9Overview

Is R04.9 (Hemorrhage from respiratory passages) a billable code?

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

Can R04.9 be a principal diagnosis?

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

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

Under the General Equivalence Mappings, hemorrhage from respiratory passages, unspecified 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.