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R19.01 vs R19.02

R19.01 (Right upper quadrant abdominal swelling, mass and lump) compared with R19.02 (Left upper quadrant abdominal swelling, mass and lump), from the official CMS tabular data. R19.01 and R19.02 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

R19.01
Right
Right upper quadrant abdominal swelling, mass and lump
R19.02
Left
Left upper quadrant abdominal swelling, mass and lump

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. R19.01 and R19.02 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

R19.01Right upper quadrant abdominal swelling, mass and lumpR19.02Left upper quadrant abdominal swelling, mass and lump
Billing statusBillableBillable
ClassificationR00-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)
DefinitionRight upper quadrant abdominal swelling, mass and lump is a billable ICD-10-CM diagnosis code (R19.01).Left upper quadrant abdominal swelling, mass and lump is a billable ICD-10-CM diagnosis code (R19.02).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources