R19.8 — Other specified symptoms and signs involving the digestive system and abdomen
R19.8 is a billable, specific ICD-10-CM code for other specified symptoms and signs involving the digestive system and abdomen. It is valid for submission on a claim.
Risk adjustment
R19.8 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
R19.8 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.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
How R19.8 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 R19.8.
- Tenesmus(rectal)
- Impaired, impairment›rectal sphincter
- Rupture, ruptured›viscus
- Symptoms NEC›involving›abdomen NEC
- Symptoms NEC›involving›digestive system NEC
- Symptoms NEC›involving›pelvis NEC
Related codes at this level
Codes that share R19. If R19.8 is not quite right, the correct code is usually one of these.
Questions about R19.8
- Is R19.8 a billable ICD-10-CM code?
- Yes. R19.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R19.8 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).