Chapter 18

R00–R99: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

Symptoms, Signs and Abnormal Clinical and Laboratory Findings diagnostic classification updated for 2026.

Chapter 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)
Internal Codes
  • R11.0

    Nausea

  • R11.10

    Vomiting, unspecified

  • R11.11

    Vomiting without nausea

  • R11.12

    Projectile vomiting

  • R11.13

    Vomiting of fecal matter

  • R11.14

    Bilious vomiting

  • R11.15

    Cyclical vomiting syndrome unrelated to migraine

  • R11.16

    Cannabis hyperemesis syndrome

  • R11.2

    Nausea with vomiting, unspecified

  • R12

    Heartburn

  • R13.0

    Aphagia

  • R13.10

    Dysphagia, unspecified

  • R13.11

    Dysphagia, oral phase

  • R13.12

    Dysphagia, oropharyngeal phase

  • R13.13

    Dysphagia, pharyngeal phase

  • R13.14

    Dysphagia, pharyngoesophageal phase

  • R13.19

    Other dysphagia

  • R14.0

    Abdominal distension (gaseous)

  • R14.1

    Gas pain

  • R14.2

    Eructation

  • R14.3

    Flatulence

  • R15.0

    Incomplete defecation

  • R15.1

    Fecal smearing

  • R15.2

    Fecal urgency

  • R15.9

    Full incontinence of feces

  • R16.0

    Hepatomegaly, not elsewhere classified

  • R16.1

    Splenomegaly, not elsewhere classified

  • R16.2

    Hepatomegaly with splenomegaly, not elsewhere classified

  • R17

    Unspecified jaundice

  • R18.0

    Malignant ascites

  • R18.8

    Other ascites

  • R19.00

    Intra-abdominal and pelvic swelling, mass and lump, unspecified site

  • R19.01

    Right upper quadrant abdominal swelling, mass and lump

  • R19.02

    Left upper quadrant abdominal swelling, mass and lump

  • R19.03

    Right lower quadrant abdominal swelling, mass and lump

  • R19.04

    Left lower quadrant abdominal swelling, mass and lump

  • R19.05

    Periumbilic swelling, mass or lump

  • R19.06

    Epigastric swelling, mass or lump

  • R19.07

    Generalized intra-abdominal and pelvic swelling, mass and lump

  • R19.09

    Other intra-abdominal and pelvic swelling, mass and lump

  • R19.11

    Absent bowel sounds

  • R19.12

    Hyperactive bowel sounds

  • R19.15

    Other abnormal bowel sounds

  • R19.2

    Visible peristalsis

  • R19.30

    Abdominal rigidity, unspecified site

  • R19.31

    Right upper quadrant abdominal rigidity

  • R19.32

    Left upper quadrant abdominal rigidity

  • R19.33

    Right lower quadrant abdominal rigidity

  • R19.34

    Left lower quadrant abdominal rigidity

  • R19.35

    Periumbilic abdominal rigidity

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