R19.0 — Intra-abdominal and pelvic swelling, mass and lump
R19.0 is a non-billable header ICD-10-CM code for intra-abdominal and pelvic swelling, mass and lump. 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.
Excludes1 inherited from the categories above R19.0
These are not written on R19.0, but they bind it: a note on a category applies to every code beneath it. Billing R19.0 with anything listed here is a denial.
Other codes that can never be billed with R19.0
These codes carry an Excludes1 note pointing at R19.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R19.0 alone.
- R22.2Localized swelling, mass and lump, trunk
Risk adjustment
R19.0 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 history
R19.0 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead R19.0
9 child codes. Green means billable.
- R19.00Intra-abdominal and pelvic swelling, mass and lump, unspecified site
- R19.01Right upper quadrant abdominal swelling, mass and lump
- R19.02Left upper quadrant abdominal swelling, mass and lump
- R19.03Right lower quadrant abdominal swelling, mass and lump
- R19.04Left lower quadrant abdominal swelling, mass and lump
- R19.05Periumbilic swelling, mass or lump
- R19.06Epigastric swelling, mass or lump
- R19.07Generalized intra-abdominal and pelvic swelling, mass and lump
- R19.09Other intra-abdominal and pelvic swelling, mass and lump
Related codes at this level
Codes that share R19. If R19.0 is not quite right, the correct code is usually one of these.
Questions about R19.0
- Is R19.0 a billable ICD-10-CM code?
- No. R19.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does R19.0 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 R19.0?
- R19.0 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R19.0 (R19) and apply to it just the same.