R19.4
R19.4: Change in bowel habit
Billable / specific codeICD-10-CM
R19.4 is a billable, specific ICD-10-CM code for change in bowel habit. It is valid for submission on a claim.
Check R19.4 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with R19.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K59Other functional intestinal disorders
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R19.4 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Alphabetic index entries that lead here
- Change›bowel habit
Code history
Unchanged in every release from FY2024 to FY2027.