2025 ICD-10-CM Diagnosis Code R58

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• 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 gums
• Bleeding of oral mucosa
• Bleeding of oral mucosa
• Bleeding of oral mucosa
• Bleeding of pharynx
• Bleeding of unknown origin
• Bleeding pinna
• Bleeding requiring transfusion
• 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
• 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
• Intraoperative hemorrhage
• Muscle ecchymosis
• Perioperative hematoma
• Postoperative abdominal wound hemorrhage
• Postoperative hemorrhage
• Postoperative wound 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
• Wound hemorrhage
• Wound hemorrhage

Clinical Classification

• Clinical Category is Circulatory signs and symptoms

• CCSR Category Code: SYM012
• Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
• Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

• Postoperative Hemorrhage

  hemorrhage following any surgical procedure. it may be immediate or delayed and is not restricted to the surgical wound.

• Ascorbic Acid Deficiency

  a condition due to a dietary deficiency of ascorbic acid (vitamin c), characterized by malaise, lethargy, and weakness. as the disease progresses, joints, muscles, and subcutaneous tissues may become the sites of hemorrhage. ascorbic acid deficiency frequently develops into scurvy in young children fed unsupplemented cow's milk exclusively during their first year. it develops also commonly in chronic alcoholism. (cecil textbook of medicine, 19th ed, p1177)

• Exsanguination

  rapid and extreme blood loss leading to hemorrhagic shock.

• Ecchymosis

  extravasation of blood into the skin, resulting in a nonelevated, rounded or irregular, blue or purplish patch, larger than a petechia.

• Scurvy

  an acquired blood vessel disorder caused by severe deficiency of vitamin c (ascorbic acid) in the diet leading to defective collagen formation in small blood vessels. scurvy is characterized by bleeding in any tissue, weakness, anemia, spongy gums, and a brawny induration of the muscles of the calves and legs.

• Traumatic Hemorrhage

  vascular rupture, and the resulting loss of blood, due to physical injury.

• Easy Bruising

  appearance of skin bruises following perceived minimal contact or injury.

• Anesthesia and Exsanguination Euthanasia|ANESTHETIZED EXSANGUINATION

  a method of euthanization whereby a subject is anesthetized and the body is drained of blood.

• Anesthetized Exsanguination and Perfusion Euthanasia|ANESTHETIZED EXSANGUINATION AND PERFUSION|Anesthetized Perfusion

  a method of euthanasia whereby a subject is anesthetized and the blood of the body is replaced by a perfusate.

• Anesthetized Intracardiac Lethal Injection and Exsanguination Euthanasia|ANESTHETIZED LETHAL INJECTION INTRACARDIAC EXSANGUINATION

  a method of euthanasia whereby a subject is anesthetized, a lethal chemical is administered by intracardiac injection and the body is drained of blood.

• Anesthetized Intraperitoneal Lethal Injection and Exsanguination Euthanasia|ANESTHETIZED LETHAL INJECTION INTRAPERITONEAL EXSANGUINATION

  a method of euthanasia whereby a subject is anesthetized, a lethal chemical is administered by intraperitoneal injection and the body is drained of blood.

• Anesthetized Lethal Injection Exsanguination Euthanasia|ANESTHETIZED LETHAL INJECTION EXSANGUINATION

  a method of euthanasia whereby a subject is anesthetized, a lethal chemical is administered by injection and the body is drained of blood.

• Anesthetized Lethal Injection Intravenous Exsanguination Euthanasia|ANESTHETIZED LETHAL INJECTION INTRAVENOUS EXSANGUINATION

  a method of euthanasia whereby a subject is anesthetized, a lethal chemical is administered by intravenous injection and the body is drained of blood.

• Captive Bolt and Exsanguination Euthanasia|CAPTIVE BOLT EXSANGUINATION

  a method of euthanasia whereby a subject is shot in the brain with a captive bolt pistol causing immediate and permanent unconsciousness or death, followed by draining the body of blood.

• Carbon Dioxide and Exsanguination Euthanasia|Asphyxia Exsanguination|CARBON DIOXIDE EXSANGUINATION

  a method of euthanasia whereby a subject inhales carbon dioxide until asphyxiation occurs and then the body is immediately drained of blood.

• Exsanguination

  extensive loss of blood due to internal or external hemorrhage.

• Intracardiac Lethal Injection and Exsanguination Euthanasia|LETHAL INJECTION INTRACARDIAC EXSANGUINATION

  a method of euthanasia whereby a subject is given a lethal intracardiac injection and the body is drained of blood.

• Intraperitoneal Lethal Injection and Exsanguination Euthanasia|LETHAL INJECTION INTRAPERITONEAL EXSANGUINATION

  a method of euthanasia whereby a subject is given a lethal intraperitoneal injection and the body is drained of blood.

• Intravenous Lethal Injection and Exsanguination Euthanasia|LETHAL INJECTION INTRAVENOUS EXSANGUINATION

  a method of euthanasia whereby a subject is given a lethal intravenous injection and the body is drained of blood.

• Lethal Injection and Exsanguination Euthanasia|LETHAL INJECTION EXSANGUINATION

  a method of euthanasia whereby a subject is given a lethal injection and the body is drained of blood.

R58 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert R58 to ICD-9-CM

• ICD-9-CM Code: 459.0 - Hemorrhage NOS

Patient Education

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.

Normally, when you are injured and start bleeding, a blood clot forms to stop the bleeding quickly. Afterwards, the clot dissolves naturally. To be able to make a clot, your blood needs blood proteins called clotting factors and a type of blood cell called platelets. Some people have a problem with clotting, due to another medical condition or an inherited disease. There are two types of problems:

• Your blood may not form clots normally, known as a bleeding disorder. This happens when your body does not make enough platelets or clotting factors, or they don't work the way they should.
• Your blood may make too many clots, or the clots may not dissolve properly

Sometimes bleeding can cause other problems. A bruise is bleeding under the skin. Some strokes are caused by bleeding in the brain. Severe bleeding may require first aid or a trip to the emergency room.

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.