ICD-10 R04.0
Billable / SpecificEpistaxis
About ICD-10-CM R04.0
ICD-10-CM code R04.0 represents Epistaxis. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R04). The 2026 edition of ICD-10-CM R04.0 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R04.0. Per CMS ICD-10-CM Tabular 2026.
- Hemorrhage from nose
- Nosebleed
Medicare LCD Coverage for R04.0
Local Coverage Determinations (LCDs) from CMS MACs that list R04.0 as a covered diagnosis.
Showing top 10 of 188 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R04.0.
1 Aetna
1 Cigna
5 Medicare
CPT Codes Commonly Billed with R04.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 99205 New patient office visit — complex/high-risk: uncontrolled diabetes, heart failure, COPD exacerbation, cancer, MS, RA, CKD, CAD, recurrent depression, epilepsy, lupus, syncope, cognitive decline Primary Care
- 31231 Nasal endoscopy diagnostic — acute sinusitis, chronic sinusitis, nasal polyps, septal deviation, epistaxis, nasal obstruction, nasal discharge ENT
Convert R04.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R04.0 | 7847 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R04.0
Other codes in section R00-R09 (Symptoms and signs involving the circulatory and respiratory systems).
ICD-10 R04.0, Billing FAQ
Is ICD-10 code R04.0 billable? +
Yes, R04.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to R04.0? +
ICD-10 R04.0 includes: Hemorrhage from nose; Nosebleed.
What CPT codes are commonly billed with R04.0? +
Procedures frequently paired with R04.0 include: 99205, 31231.
What ICD-9 codes does R04.0 map to? +
Per CMS GEMs, R04.0 maps to ICD-9 codes: 7847. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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