R58
BillableHemorrhage, not elsewhere classified
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is R58 an HCC code?
No. R58 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
R58 is the ICD-10-CM diagnosis code for hemorrhage, not elsewhere classified. Bleeding or blood loss that occurs in the body but is not classified under a more specific condition or anatomical location. R58 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 general symptoms and signs (r50-r69).
R58 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 hemorrhage site is not specified elsewhere; attempt to identify the source of bleeding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R58 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 hemorrhage site is not specified elsewhere; attempt to identify the source of bleeding
- •Document the severity and location of hemorrhage to support appropriate coding specificity