Hemorrhage, not elsewhere classified
In General symptoms and signs (R50-R69), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings
- R58 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under R50-R69 below.
- As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
- Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
- AHRQ's Chronic Condition Indicator classes it as not chronic (an acute or short-term condition).
- 764 US deaths in 2024 had an underlying cause in category R58, per the National Vital Statistics System on CDC WONDER. Death records use WHO ICD-10, so the count is for the whole category.
Also indexed as: Ecchymosis; Extravasation, blood; Hemorrhage; Hemorrhage, abdomen; Hemorrhage, artery; Hemorrhage, internal NEC; Hemorrhage, intra-abdominal; Hemorrhage, mucous membrane NEC; Hemorrhage, scalp; Hemorrhage, secondary; Hemorrhage, subdiaphragmatic; Hemorrhage, viscera NEC; Rupture, splenic vein; Rupture, vena cava; Rupture, vessel
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Instructional notes
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.
- Use of symptom codes (page 75)
- Use of a symptom code with a definitive diagnosis code (page 75)
- Combination codes that include symptoms (page 75)
- Repeated falls (page 76)
- Coma (page 76)
- Functional quadriplegia (page 76)
- SIRS due to Non-Infectious Process (page 77)
- Death NOS (page 77)
Other codes under R50-R69
General symptoms and signs (R50-R69)
- R50Fever of other and unknown origin
- R51Headache
- R52Pain, unspecified
- R53Malaise and fatigue
- R54Age-related physical debility
- R55Syncope and collapse
- R56Convulsions, not elsewhere classified
- R57Shock, not elsewhere classified
- R58Hemorrhage, not elsewhere classified(this code)
- R59Enlarged lymph nodes
- R60Edema, not elsewhere classified
- R61Generalized hyperhidrosis
- R62Lack of expected normal physiological development in childhood and adults
- R63Symptoms and signs concerning food and fluid intake
- R64Cachexia
- R65Symptoms and signs specifically associated with systemic inflammation and infection
- R68Other general symptoms and signs
- R69Illness, unspecified
R58 MS-DRGs
As the principal diagnosis, R58 groups to MS-DRG 314, 315, 316, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
R58 is in Circulatory signs and symptoms (SYM012, its default category), with 12 codes. Others in it:
Medicare coverage articles listing R58
These 5 Medicare billing and coding articles list R58 as a diagnosis that supports medical necessity for the services they cover. From the CMS Medicare Coverage Database; check your own contractor's article before billing.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
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.
Read more about bleeding on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 459.0 Hemorrhage, unspecified