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 an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R19.0

R19.0 — Intra-abdominal and pelvic swelling, mass and lump

Non-billable headerICD-10-CM

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.

abdominal distension (gaseous) (R14.-)
ascites (R18.-)

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 to one of these instead R19.0

9 child codes. Green means billable.

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 an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.