R04.89 ICD-10-CM Code: Hemorrhage from other sites in respiratory passages
HCC Buddy Code Card
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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Symptoms and signs involving the circulatory and respiratory systems (R00-R09)
R04.89
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceHemorrhage from other sites in respiratory passages
Bleeding from other parts of the respiratory system not specified elsewhere, such as the trachea or bronchi.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Pulmonary hemorrhage NOS
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for R04.89 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for R04.89 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for R04.89 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for R04.89 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for R04.89 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for R04.89 in this effective period.
Buddy Documentation Tip
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
Is R04.89 an HCC code?
No. R04.89 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- R04.89
- Description
- Hemorrhage from other sites in respiratory passages
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
R04.89 is the ICD-10-CM diagnosis code for hemorrhage from other sites in respiratory passages. Bleeding from other parts of the respiratory system not specified elsewhere, such as the trachea or bronchi. R04.89 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving the circulatory and respiratory systems (r00-r09).
R04.89 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Use this code only when the bleeding site is documented but does not fit other specific respiratory hemorrhage codes.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R04.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the bleeding site is documented but does not fit other specific respiratory hemorrhage codes
- •Provide as much detail as possible about the location and cause of bleeding in the medical record