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ICD-10-CM 2027

ICD-10 code for Ecchymosis

R58

Hemorrhage, not elsewhere classified

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Ecchymosis”. Page updated September 29, 2026.

About coding Ecchymosis

The ICD-10-CM code for Ecchymosis is R58 (Hemorrhage, not elsewhere classified). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on R58.

Don't report R58 together with the conditions in its Excludes1 note: acute duodenal ulcer with hemorrhage (K26.0), acute gastritis with bleeding (K29.01) and ulcerative enterocolitis with rectal bleeding (K51.01).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 314 (Other Circulatory System Diagnoses with MCC, relative weight 2.0873), DRG 315 (Other Circulatory System Diagnoses with CC, relative weight 0.9508), DRG 316 (Other Circulatory System Diagnoses without CC/MCC, relative weight 0.6677), DRG 791 (Prematurity with Major Problems, relative weight 4.1075) and DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), in MDC 05 (Diseases and Disorders of the Circulatory System) and MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

More specific Ecchymosis codes (official index)

  • conjunctiva
  • eye (traumatic)
  • eyelid (traumatic)
  • newborn P54.5 — Neonatal cutaneous hemorrhage
  • spontaneous R23.3 — Spontaneous ecchymoses
  • traumatic

Don't confuse with (Excludes1 for R58)

  • 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)

Common questions about Ecchymosis ICD-10 codes

What is the ICD-10 code for Ecchymosis?

R58 — Hemorrhage, not elsewhere classified. More specific codes apply when the documentation supports them: P54.5, R23.3.

What is the ICD-10 code for newborn ecchymosis?

P54.5 — Neonatal cutaneous hemorrhage.

What is the ICD-10 code for spontaneous ecchymosis?

R23.3 — Spontaneous ecchymoses.

Is R58 billable?

Yes. R58 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can R58 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict R58 as a principal diagnosis.

Is R58 a CC or MCC?

No. R58 is neither a CC nor an MCC under MS-DRG v44.0.