R04.2 vs R09.3
R04.2 (Hemoptysis) compared with R09.3 (Abnormal sputum), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. R09.3 carries an Excludes1 note covering R04.2: “blood-stained sputum (R04.2)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| R04.2Hemoptysis | R09.3Abnormal sputum | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Hemoptysis is a billable ICD-10-CM diagnosis code (R04.2). | Abnormal sputum is a billable ICD-10-CM diagnosis code (R09.3). |
| Includes | Blood-stained sputum Cough with hemorrhage | Abnormal amount of sputum Abnormal color of sputum Abnormal odor of sputum Excessive sputum |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources