R19.07 — Generalized intra-abdominal and pelvic swelling, mass and lump
R19.07 is a billable, specific ICD-10-CM code for generalized intra-abdominal and pelvic swelling, mass and lump. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Diffuse or generalized intra-abdominal swelling or mass NOS
- Diffuse or generalized pelvic swelling or mass NOS
Risk adjustment
R19.07 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.
Medicare coverage
R19.07 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How R19.07 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R19.07.
- Mass›abdominal›generalized
Related codes at this level
Codes that share R19.0. If R19.07 is not quite right, the correct code is usually one of these.
- 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
- R19.09Other intra-abdominal and pelvic swelling, mass and lump
Questions about R19.07
- Is R19.07 a billable ICD-10-CM code?
- Yes. R19.07 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R19.07 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).