R58 — Hemorrhage, not elsewhere classified
R58 is a billable, specific ICD-10-CM code for hemorrhage, not elsewhere classified. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Hemorrhage NOS
Risk adjustment
R58 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
R58 is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55229Billing and Coding: Treatment of Chronic Venous Insufficiency of the Lower Extremities
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56914Billing and Coding: Treatment of Varicose Veins of the Lower Extremities
- A57044Billing and Coding: Removal of Benign Skin Lesions
How R58 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R58.
- Ecchymosis
- Hemorrhage, hemorrhagic(concealed)
- Extravasation›blood
- Hemorrhage, hemorrhagic›abdomen
- Hemorrhage, hemorrhagic›artery
- Hemorrhage, hemorrhagic›internal NEC(organs)
- Hemorrhage, hemorrhagic›intra-abdominal
- Hemorrhage, hemorrhagic›mucous membrane NEC
- Hemorrhage, hemorrhagic›scalp
- Hemorrhage, hemorrhagic›secondary(nontraumatic)
- Hemorrhage, hemorrhagic›subdiaphragmatic
- Hemorrhage, hemorrhagic›viscera NEC
Questions about R58
- Is R58 a billable ICD-10-CM code?
- Yes. R58 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R58 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block General symptoms and signs (R50-R69).
- What cannot be coded together with R58?
- R58 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.