R19
R19 — Other symptoms and signs involving the digestive system and abdomen
Non-billable headerICD-10-CM
R19 is a non-billable header ICD-10-CM code for other symptoms and signs involving the digestive system and abdomen. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- acute abdomen (R10.0)
Other codes that can never be billed with R19
These codes carry an Excludes1 note pointing at R19. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R19 alone.
- A09Infectious gastroenteritis and colitis, unspecified
- R10.0Acute abdomen
- R10.85Abdominal pain of multiple sites
- R22.2Localized swelling, mass and lump, trunk
- R85Abnormal findings in specimens from digestive organs and abdominal cavity
- K52.9Noninfective gastroenteritis and colitis, unspecified
- K59Other functional intestinal disorders
- K59.1Functional diarrhea
Risk adjustment
R19 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead R19
9 child codes. Green means billable.
- R19.0Intra-abdominal and pelvic swelling, mass and lump
- R19.1Abnormal bowel sounds
- R19.2Visible peristalsis
- R19.3Abdominal rigidity
- R19.4Change in bowel habit
- R19.5Other fecal abnormalities
- R19.6Halitosis
- R19.7Diarrhea, unspecified
- R19.8Other specified symptoms and signs involving the digestive system and abdomen
Questions about R19
- Is R19 a billable ICD-10-CM code?
- No. R19 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does R19 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).
- What cannot be coded together with R19?
- R19 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.