R19 vs R22.2
R19 and R22.2 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on R22.2
intra-abdominal or pelvic mass and lump (R19.0-)
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
R22.2
Localized swelling, mass and lump, trunk
Billable
- Chapter 18
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- Section
- R20-R23
Indexed under
- Mass › chest
- Swelling › chest, localized (of)
- Mass › localized › chest
- Mass › localized › trunk
- Swelling › localized › chest (of)
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