{"code":"R19.00","type":"code","title":"Intra-abdominal and pelvic swelling, mass and lump, unspecified site","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["abdominal distension (gaseous) (R14.-)","ascites (R18.-)","acute abdomen (R10.0)"],"excludes2":["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)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["R19","R19.0","R19.01","R19.02","R19.03","R19.04","R19.05","R19.06","R19.07","R19.09","R19.1","R19.11","R19.12","R19.15","R19.2","R19.3","R19.30","R19.31","R19.32","R19.33","R19.34","R19.35","R19.36","R19.37","R19.4","R19.5","R19.6","R19.7","R19.8"],"inclusionTerms":[],"sibling_titles":{"code":"R19.8","title":"Other specified symptoms and signs involving the digestive system and abdomen","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Intra-abdominal and pelvic swelling, mass and lump, unspecified site is a billable ICD-10-CM diagnosis code (R19.00). Excludes1 (not coded here): abdominal distension (gaseous) (R14.-); ascites (R18.-); acute abdomen (R10.0). Excludes2 (not included here): 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.","officialDefinition":"Intra-abdominal and pelvic swelling, mass and lump, unspecified site is a billable ICD-10-CM diagnosis code (R19.00). Excludes1 (not coded here): abdominal distension (gaseous) (R14.-); ascites (R18.-); acute abdomen (R10.0). Excludes2 (not included here): 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).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"acute abdomen (R10.0)":"R19","congenital or infantile pylorospasm (Q40.0)":"R19","gastrointestinal hemorrhage (K92.0-K92.2)":"R19","intestinal obstruction (K56.-)":"R19","newborn gastrointestinal hemorrhage (P54.0-P54.3)":"R19","newborn intestinal obstruction (P76.-)":"R19","pylorospasm (K31.3)":"R19","signs and symptoms involving the urinary system (R30-R39)":"R19","symptoms referable to female genital organs (N94.-)":"R19","symptoms referable to male genital organs (N48-N50)":"R19","abdominal distension (gaseous) (R14.-)":"R19.0","ascites (R18.-)":"R19.0"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}