R04.2
R04.2: Hemoptysis
Billable / specific codeICD-10-CM
R04.2 is a billable, specific ICD-10-CM code for hemoptysis. It is valid for submission on a claim.
Check R04.2 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Blood-stained sputum
- Cough with hemorrhage
Other codes that can never be billed with R04.2
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R04.2 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56631Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
Alphabetic index entries that lead here
- Hemoptysis
- Sputum›blood-stained
Code history
Unchanged in every release from FY2024 to FY2027.