DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R19 Other symptoms and signs involving the digestive system and abdomen

  • Header · not billable

R19 is not billable. The category heads 26 billable codes in FY2027, grouped under 9 subdivisions.

Index → code

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R10-R19 Symptoms and signs involving the digestive system and abdomen (R10-R19)
  3. R19 Other symptoms and signs involving the digestive system and abdomen
Billable codes
26
Subdivisions
9
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
51

Codes in R19

  1. R19.0
    Intra-abdominal and pelvic swelling, mass and lump
    Header
    Excludes1 2

    Excludes1

    • abdominal distension (gaseous) (R14.-) R14
    • ascites (R18.-) R18
  2. R19.00
    Intra-abdominal and pelvic swelling, mass and lump, unspecified site
    Billable
  3. R19.01
    Right upper quadrant abdominal swelling, mass and lump
    Billable
  4. R19.02
    Left upper quadrant abdominal swelling, mass and lump
    Billable
  5. R19.03
    Right lower quadrant abdominal swelling, mass and lump
    Billable
  6. R19.04
    Left lower quadrant abdominal swelling, mass and lump
    Billable
  7. R19.05
    Periumbilic swelling, mass or lump
    Billable
    Inclusion terms 1

    Inclusion terms

    • Diffuse or generalized umbilical swelling or mass
  8. R19.06
    Epigastric swelling, mass or lump
    Billable
  9. R19.07
    Generalized intra-abdominal and pelvic swelling, mass and lump
    Billable
    Inclusion terms 2

    Inclusion terms

    • Diffuse or generalized intra-abdominal swelling or mass NOS
    • Diffuse or generalized pelvic swelling or mass NOS
  10. R19.09
    Other intra-abdominal and pelvic swelling, mass and lump
    Billable
  11. R19.1
    Abnormal bowel sounds
    Header
  12. R19.11
    Absent bowel sounds
    Billable
  13. R19.12
    Hyperactive bowel sounds
    Billable
  14. R19.15
    Other abnormal bowel sounds
    Billable
    Inclusion terms 1

    Inclusion terms

    • Abnormal bowel sounds NOS
  15. R19.2
    Visible peristalsis
    Billable
    Inclusion terms 1

    Inclusion terms

    • Hyperperistalsis
  16. R19.3
    Abdominal rigidity
    Header
    Excludes1 1

    Excludes1

    • abdominal rigidity with severe abdominal pain (R10.0) R10.0
  17. R19.30
    Abdominal rigidity, unspecified site
    Billable
  18. R19.31
    Right upper quadrant abdominal rigidity
    Billable
  19. R19.32
    Left upper quadrant abdominal rigidity
    Billable
  20. R19.33
    Right lower quadrant abdominal rigidity
    Billable
  21. R19.34
    Left lower quadrant abdominal rigidity
    Billable
  22. R19.35
    Periumbilic abdominal rigidity
    Billable
  23. R19.36
    Epigastric abdominal rigidity
    Billable
  24. R19.37
    Generalized abdominal rigidity
    Billable
  25. R19.4
    Change in bowel habit
    Billable
    Excludes1 2

    Excludes1

    • constipation (K59.0-) K59.0
    • functional diarrhea (K59.1) K59.1
  26. R19.5
    Other fecal abnormalities
    Billable
    Inclusion terms 5, Excludes1 2

    Inclusion terms

    • Abnormal stool color
    • Bulky stools
    • Mucus in stools
    • Occult blood in feces
    • Occult blood in stools

    Excludes1

  27. R19.6
    Halitosis
    Billable
  28. R19.7
    Diarrhea, unspecified
    Billable
    Inclusion terms 1, Excludes1 3

    Inclusion terms

    • Diarrhea NOS

    Excludes1

    • functional diarrhea (K59.1) K59.1
    • neonatal diarrhea (P78.3) P78.3
    • psychogenic diarrhea (F45.8) F45.8
  29. R19.8
    Other specified symptoms and signs involving the digestive system and abdomen
    Billable

Sources of each column.

Instructions

At R19

Excludes1

  • acute abdomen (R10.0) R10.0

Notes that also apply

Block R10-R19 instructions (Excludes2 9): printed on the block page.

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Hyperperistalsis → R19.2
  • Peristalsis, visible or reversed → R19.2
  • Reverse peristalsis → R19.2
  • Visible peristalsis → R19.2
  • Foul breath → R19.6
  • Halitosis → R19.6
  • Diarrhea, diarrheal (disease) (infantile) (inflammatory) → R19.7
  • Tenesmus (rectal) → R19.8
  • Massabdominal → R19.00
  • Massumbilical (diffuse) (generalized) → R19.09
  • Swelling (of)umbilical → R19.09
  • Absence (of) (organ or part) (complete or partial)bowel sounds → R19.11
  • Hyperactive, hyperactivitybowel sounds → R19.12
  • Abnormal, abnormality, abnormalitiesbowel sounds → R19.15
  • Murmur (cardiac) (heart) (organic)abdominal → R19.15
  • Rigid, rigidityabdominal → R19.30
  • Change(s) (in) (of)bowel habit → R19.4
  • Abnormal, abnormality, abnormalitiesfeces (color) (contents) (mucus) → R19.5
  • Abnormal, abnormality, abnormalitiesstool (color) (contents) (mucus) → R19.5
  • Bloodoccult in feces → R19.5
  • Bulkystools → R19.5
  • Fatin stool → R19.5
  • Mucusin stool → R19.5
  • Occultblood in feces (stools) → R19.5
  • Breathfoul → R19.6
  • Fetidbreath → R19.6
  • Impaired, impairment (function)rectal sphincter → R19.8
  • Rupture, rupturedviscus → R19.8
  • Massabdominalright upper quadrant → R19.01
  • Massabdominalleft upper quadrant → R19.02
  • Massabdominalright lower quadrant → R19.03
  • Massabdominalleft lower quadrant → R19.04
  • Massabdominalperiumbilic → R19.05
  • Massabdominalepigastric → R19.06
  • Massabdominalgeneralized → R19.07
  • Massabdominalspecified site NEC → R19.09
  • Abnormal, abnormality, abnormalitiesbowel soundsabsent → R19.11
  • Abnormal, abnormality, abnormalitiesbowel soundshyperactive → R19.12
  • Rigid, rigidityabdominalright upper quadrant → R19.31
  • Rigid, rigidityabdominalleft upper quadrant → R19.32

11 more, longer entries are not listed; the search box finds them by word.

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