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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R58

Billable / Specific

Hemorrhage, not elsewhere classified

R58
Block
1
Synonyms
207
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM R58

ICD-10-CM code R58 represents Hemorrhage, not elsewhere classified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R58). The 2026 edition of ICD-10-CM R58 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R58. Per CMS ICD-10-CM Tabular 2026.

  • Hemorrhage NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with R58. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • hemorrhage included with underlying conditions, such as:
  • acute duodenal ulcer with hemorrhage (K26.0)
  • acute gastritis with bleeding (K29.01)
  • ulcerative enterocolitis with rectal bleeding (K51.01)

Medicare LCD Coverage for R58

Local Coverage Determinations (LCDs) from CMS MACs that list R58 as a covered diagnosis.

207 LCDs

Showing top 10 of 207 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Treatment of Varicose Veins of the Lower Extremities
Article ID: 56914, Effective: 2026-01-01 00:00:00, 56 covered, 1 non-covered
CPT 36466 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R58.

8 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Treatment of Chronic Venous Insufficiency of the Lower Extremities
Policy ID: ART-55229
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Treatment of Varicose Veins of the Lower Extremities
Policy ID: ART-56914
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57044
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57113

CPT Codes Commonly Billed with R58

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for R58

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert R58 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R58 4590 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R58, Billing FAQ

Is ICD-10 code R58 billable? +

Yes, R58 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 R58? +

ICD-10 R58 includes: Hemorrhage NOS.

What codes are Type 1 Excludes for R58? +

Type 1 Excludes (never code together with R58): hemorrhage included with underlying conditions, such as:; acute duodenal ulcer with hemorrhage (K26.0); acute gastritis with bleeding (K29.01)

What ICD-9 codes does R58 map to? +

Per CMS GEMs, R58 maps to ICD-9 codes: 4590. 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 July 16, 2026.

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