2027 ICD-10-CM Diagnosis Code R58Hemorrhage, not elsewhere classified
ICD-10-CM Codes›R00–R99›R50-R69›R58
- Billable — Valid for Submission
- Not Chronic
R58 is a billable ICD-10-CM diagnosis code for hemorrhage, not elsewhere classified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 314 through 316, 791, 793. 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 Circulatory signs and symptoms.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute postoperative hemorrhage
- Anastomotic bleeding
- Arterial hemorrhage
- Arteriovenous fistula hemorrhage
- Arteriovenous fistula rupture
- Arteriovenous graft hemorrhage
- Arteriovenous shunt hemorrhage
- Ascorbic acid deficiency
- Ascorbic acid deficiency with hemorrhage
- Bleeding
- Bleeding due to aspirin therapy
- Bleeding due to vitamin K epoxide reductase complex 1 rapid metabolizer
- Bleeding during surgery requiring transfusion
- Bleeding gums
- Bleeding of oral mucosa
- Bleeding of soft tissue
- Bleeding of unknown origin
- Bleeding pinna
- Bleeding requiring transfusion
- Bleeding varicose vein of lower limb
- Bleeds profusely
- Burst blood vessel
- Compression of spinal cord due to hemorrhage
- Congenital arteriovenous fistula rupture
- Disorder of arteriovenous shunt
- Disorder of vitamin C
- Easy bruising
- Ecchymosis
- Ecchymosis following surgical procedure
- Ecchymosis of buccal mucosa
- Ecchymosis of floor of mouth
- Ecchymosis of gingivae
- Ecchymosis of intraoral surface of lip
- Ecchymosis of oral alveolar mucosa
- Ecchymosis of oral cavity
- Ecchymosis of oropharynx
- Ecchymosis of palate
- Ecchymosis of periwound skin
- Ecchymosis of postauricular region
- Ecchymosis of tongue
- Ecchymosis present
- Epicranial subaponeurotic hematoma
- Excessive bleeding due to blood coagulation disorder
- Exsanguination
- Extraperitoneal hemorrhage postprocedure
- Extravasation due to and following blood transfusion
- Finding related to bruising
- Hematoma of abdominal wall
- Hematoma of extraperitoneal space
- Hemorrhage after administration of thrombolytic agent
- Hemorrhage of abdominal cavity structure
- Hemorrhage of blood vessel
- Hemorrhage of transplant artery
- Hemorrhage of transplanted vein
- Hemorrhagic infarction
- Injection site hemorrhage
- Intra-abdominal hemorrhage postprocedure
- Intraoperative hemorrhage
- Muscle ecchymosis
- Perioperative hematoma
- Postoperative abdominal wound hemorrhage
- Postoperative hemorrhage
- Postoperative wound hemorrhage
- Reactionary hemorrhage postprocedure
- Recurrent hemorrhage
- Retropubic hematoma
- Secondary hemorrhage
- Spontaneous hemorrhage
- Stomal bleeding
- Tendency to bleed - finding
- Traumatic hemorrhage
- Vascular graft hemorrhage
- Venous hemorrhage
- Wound hemorrhage
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to R58: its own notes plus those printed at Chapter 18. A note printed at a category, block or chapter applies to every code under it.
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Hemorrhage NOS
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- 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.
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Ecchymosis R58
blood R58
Hemorrhage, hemorrhagic (concealed) R58
abdomen R58
artery R58
intra-abdominal R58
scalp R58
subdiaphragmatic R58
viscera NEC R58
splenic vein R58
vena cava R58
vessel (blood) R58
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Hemorrhage
bleeding or escape of blood from a vessel.
Patient EducationClinical
Bleeding
Bleeding is the loss of blood. It can be external, or outside the body, like when you get a cut or wound. It can also be internal, or inside the body, like when you have an injury to an internal organ. Some bleeding, such as gastrointestinal bleeding, coughing up blood, or vaginal bleeding, can be a symptom of a disease.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R58 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R58Overview
What is the ICD-10 code for hemorrhage, not elsewhere classified?
The ICD-10-CM code for hemorrhage, not elsewhere classified is R58. It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is R58 (Hemorrhage, not elsewhere classified) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report hemorrhage, not elsewhere classified on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does R58 group to?
When hemorrhage, not elsewhere classified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 793, 791, 314, 316, 315, with relative weights from 0.6678 to 4.2192 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R58 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the hemorrhage, not elsewhere classified is established, that condition takes the principal position instead.
Can R58 be reported with K26.0?
Not as a rule. The Excludes1 note on R58 lists "acute duodenal ulcer with hemorrhage (K26.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
