Hemorrhage, not elsewhere classified (R58)
ICD-10 code R58 is used to identify hemorrhages that are not classified elsewhere, covering a broad range of unexplained or unspecified bleeding events. This code applies when bleeding occurs in various body areas or situations without a more specific diagnosis.
This code includes conditions commonly referred to as bleeding requiring transfusion, postoperative hemorrhage, traumatic hemorrhage, and spontaneous hemorrhage. It also accounts for bleeding related to different causes such as vitamin deficiencies (like ascorbic acid deficiency), medication effects (aspirin therapy), surgical complications (intraoperative hemorrhage), or vascular issues (arteriovenous fistula rupture). For medical coders and healthcare professionals, the ICD-10 code for hemorrhage not elsewhere classified (R58) helps document instances like ecchymosis (bruising) in various regions, wound hemorrhages, and unexpected bleeding after blood transfusions or surgical procedures. This code is valuable for capturing bleeding disorders and vascular hemorrhages when no other more specific codes apply, ensuring accurate classification and patient care documentation.
Instructional Notations
Inclusion Terms
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.
- Hemorrhage NOS
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- hemorrhage included with underlying conditions, such as:
- acute duodenal ulcer with hemorrhage K26.0
- acute gastritis with bleeding K29.01
- ulcerative enterocolitis with rectal bleeding K51.01
Clinical Terms
The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.
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)
Ecchymosis
Extravasation of blood into the skin, resulting in a nonelevated, rounded or irregular, blue or purplish patch, larger than a petechia.
Exsanguination
Rapid and extreme blood loss leading to HEMORRHAGIC SHOCK.
Postoperative Hemorrhage
Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.
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.
