R19.05
R19.05: Periumbilic swelling, mass or lump
Billable / specific codeICD-10-CM
R19.05 is a billable, specific ICD-10-CM code for periumbilic swelling, mass or lump. It is valid for submission on a claim.
Check R19.05 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Diffuse or generalized umbilical swelling or mass
Excludes1 inherited from the categories above R19.05
A category’s note binds every code beneath it.
Written on R19.0: Intra-abdominal and pelvic swelling, mass and lump
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R19.05 is named in 10 Medicare coverage policies: 10 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
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56464Billing and Coding: Flow Cytometry
Alphabetic index entries that lead here
- Mass›abdominal›periumbilic
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under R19.0
- 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
- R19.06Epigastric swelling, mass or lump
- R19.07Generalized intra-abdominal and pelvic swelling, mass and lump
- R19.09Other intra-abdominal and pelvic swelling, mass and lump