R10-R19

Non-Billable
ChapterR00–R99
Rankblock
Official Description

Symptoms and signs involving the digestive system and abdomen (R10-R19)

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (R00-R99).

CH18 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • 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)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • 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)

Clinical Hierarchy

BillableHas subcodes
CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R10-R19Symptoms and signs involving the digestive system and abdomen (R10-R19)Not billable
R10Abdominal and pelvic painSubcodes
R11Nausea and vomitingSubcodes
R12HeartburnBillable
R13Aphagia and dysphagiaSubcodes
R14Flatulence and related conditionsSubcodes
R15Fecal incontinenceSubcodes
R16Hepatomegaly and splenomegaly, not elsewhere classifiedSubcodes
R17Unspecified jaundiceBillable
R18AscitesSubcodes
R19Other symptoms and signs involving the digestive system and abdomenSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to R10-R19:

chapterCH18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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