MCMedicalCodingSoftware
R04.0

R04.0: Epistaxis

Billable / specific codeICD-10-CM

R04.0 is a billable, specific ICD-10-CM code for epistaxis. It is valid for submission on a claim.

Check R04.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Hemorrhage from nose
  • Nosebleed

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R04.0 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56631Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
  • A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
  • A57056Billing and Coding: Aortography and Peripheral Angiography
  • A58774Billing and Coding: Cosmetic and Reconstructive Surgery

Alphabetic index entries that lead here

  • Epistaxis(multiple)
  • Nosebleed
  • Bleeding›nose
  • Hemorrhage, hemorrhagic›nasal turbinate
  • Hemorrhage, hemorrhagic›nose
  • Hemorrhage, hemorrhagic›postnasal

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R04

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.