FY2027
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Excludes1 pair

R19- vs R22.2

R19 and R22.2 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 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
  • Mass › localized › chest
  • Mass › localized › trunk
  • Swelling › localized › chest

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