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R19.01

R19.01: Right upper quadrant abdominal swelling, mass and lump

Billable / specific codeICD-10-CMright

R19.01 is a billable, specific ICD-10-CM code for right upper quadrant abdominal swelling, mass and lump. It is valid for submission on a claim.

Check R19.01 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R19.01

A category’s note binds every code beneath it.

Written on R19.0: Intra-abdominal and pelvic swelling, mass and lump

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

Written on R19: Other symptoms and signs involving the digestive system and abdomen

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R19.01 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A55717Billing and Coding: Lab: Flow Cytometry
  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56464Billing and Coding: Flow Cytometry
  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

Alphabetic index entries that lead here

  • Mass›abdominal›right upper quadrant

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R19.0

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.