R19.0 vs R22.2
R19.0 (Intra-abdominal and pelvic swelling, mass and lump) compared with R22.2 (Localized swelling, mass and lump, trunk), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. R22.2 carries an Excludes1 note covering R19.0: “intra-abdominal or pelvic mass and lump (R19.0-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. R22.2 carries an Excludes1 note covering R19.0: “intra-abdominal or pelvic swelling (R19.0-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| R19.0Intra-abdominal and pelvic swelling, mass and lump | R22.2Localized swelling, mass and lump, trunk | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Intra-abdominal and pelvic swelling, mass and lump is a non-billable ICD-10-CM category code (R19.0). | Localized swelling, mass and lump, trunk is a billable ICD-10-CM diagnosis code (R22.2). |
| Includes | — | subcutaneous nodules (localized)(superficial) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources