FY2027
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Excludes1 pair

R10.0 vs R19-

R10.0 and R19 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.

The official note, declared on R19
acute abdomen (R10.0)
R10.0

Acute abdomen

Billable
Chapter 18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Section
R10-R19
Use when the record says
  • Severe abdominal pain (generalized) (with abdominal rigidity)
Indexed under
  • Abdomen, abdominal › acute
  • Acute › abdomen
  • Crisis › abdomen
  • Syndrome › acute abdominal
  • Pain › abdominal › severe with abdominal rigidity
R19

Other symptoms and signs involving the digestive system and abdomen

Not billable
Chapter 18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Section
R10-R19

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027