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Compare/R19.5 vs R85

R19.5 vs R85

R19.5 (Other fecal abnormalities) compared with R85 (Abnormal findings in specimens from digestive organs and abdominal cavity), 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. R85 carries an Excludes1 note covering R19.5: “fecal abnormalities (R19.5)”

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

R19.5Other fecal abnormalitiesR85Abnormal findings in specimens from digestive organs and abdominal cavity
Billing statusBillableNon-billable header

Report instead: R85.0, R85.1, R85.2, R85.3, R85.4

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)
DefinitionOther fecal abnormalities is a billable ICD-10-CM diagnosis code (R19.5).Abnormal findings in specimens from digestive organs and abdominal cavity is a non-billable ICD-10-CM category code (R85).
Includes
Abnormal stool color
Bulky stools
Mucus in stools
Occult blood in feces
abnormal findings in peritoneal fluid
abnormal findings in saliva

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