R19.0 — Intra-abdominal and pelvic swelling, mass and lump
Is R19.0 billable?
No — R19.0 is a non-billable header code. R19.0 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath R19.0.
Billable codes under this header
- R19.00Intra-abdominal and pelvic swelling, mass and lump, unspecified site
- R19.01Right upper quadrant abdominal swelling, mass and lump
- R19.02Left upper quadrant abdominal swelling, mass and lump
- R19.03Right lower quadrant abdominal swelling, mass and lump
- R19.04Left lower quadrant abdominal swelling, mass and lump
- R19.05Periumbilic swelling, mass or lump
- R19.06Epigastric swelling, mass or lump
- R19.07Generalized intra-abdominal and pelvic swelling, mass and lump
- R19.09Other intra-abdominal and pelvic swelling, mass and lump
R19.0 at a glance
| Code | R19.0 |
|---|---|
| Description | Intra-abdominal and pelvic swelling, mass and lump |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with R19.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from R19
The conditions below can never be reported together with R19.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- acute abdomen (R10.0)
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R19.0, but a patient may have both at the same time. When documentation supports it, R19.0 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R10-R19
The conditions below are not part of R19.0, but a patient may have both at the same time. When documentation supports it, R19.0 and the excluded code may both be reported.
- congenital or infantile pylorospasm (Q40.0)
- gastrointestinal hemorrhage (K92.0-K92.2)
- intestinal obstruction (K56.-)
- newborn gastrointestinal hemorrhage (P54.0-P54.3)
- newborn intestinal obstruction (P76.-)
- pylorospasm (K31.3)
- signs and symptoms involving the urinary system (R30-R39)
- symptoms referable to female genital organs (N94.-)
- symptoms referable to male genital organs (N48-N50)
What codes fall under R19.0? (9)
- R19.00Intra-abdominal and pelvic swelling, mass and lump, unspecified site
- R19.01Right upper quadrant abdominal swelling, mass and lump
- R19.02Left upper quadrant abdominal swelling, mass and lump
- R19.03Right lower quadrant abdominal swelling, mass and lump
- R19.04Left lower quadrant abdominal swelling, mass and lump
- R19.05Periumbilic swelling, mass or lump
- R19.06Epigastric swelling, mass or lump
- R19.07Generalized intra-abdominal and pelvic swelling, mass and lump
- R19.09Other intra-abdominal and pelvic swelling, mass and lump
How long has R19.0 existed?
R19.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.