ICDcodes.org
FY2027

R19.5 — Other fecal abnormalities

Billable

Is R19.5 billable?

Yes — R19.5 is billable for FY2027. R19.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R19.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.

R19.5 at a glance

CodeR19.5
DescriptionOther fecal abnormalities
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does R19.5 group to?

R19.5 sits in MDC 06 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 391Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCCmedical
  • 392Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCCmedical

How is R19.5 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to R19.5. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Abnormal, abnormality, abnormalities › feces
  • Abnormal, abnormality, abnormalities › stool
  • Blood › occult in feces
  • Bulky › stools
  • Fat › in stool
  • Mucus › in stool
  • Occult › blood in feces
  • Abnormal, abnormality, abnormalities › stool › guaiac positive
  • Pus › in › stool
  • Blood › in › feces › occult

Excludes1 — never code together

The conditions below can never be reported together with R19.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Inclusion terms

Alternative wording in documentation that is classified to R19.5.

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

Excludes1 — never code together — inherited from R19

The conditions below can never be reported together with R19.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Excludes2 — not included here — inherited from Chapter 18

The conditions below are not part of R19.5, but a patient may have both at the same time. When documentation supports it, R19.5 and the excluded code may both be reported.

  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Excludes2 — not included here — inherited from R10-R19

The conditions below are not part of R19.5, but a patient may have both at the same time. When documentation supports it, R19.5 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)

How long has R19.5 existed?

R19.5 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.

Which codes are confused with R19.5?

ICD-10-CM declares these codes mutually exclusive with R19.5 — exactly one of each pair can be correct for a given encounter.

What other codes are in the R19 family? (8)