ICD-10 R19.0
Non-Billable HeaderIntra-abdominal and pelvic swelling, mass and lump
About ICD-10-CM R19.0
ICD-10-CM code R19.0 represents Intra-abdominal and pelvic swelling, mass and lump. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R19). The 2026 edition of ICD-10-CM R19.0 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R19.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- abdominal distension (gaseous) (R14.-)
- ascites (R18.-)
Medicare LCD Coverage for R19.0
Local Coverage Determinations (LCDs) from CMS MACs that list R19.0 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R19.0.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R19.0 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R19.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To R19.0
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R19.0, Billing FAQ
Is ICD-10 code R19.0 billable? +
No, R19.0 is a non-billable header code. Use a more specific child code from block R19 when submitting claims.
What codes are Type 1 Excludes for R19.0? +
Type 1 Excludes (never code together with R19.0): abdominal distension (gaseous) (R14.-); ascites (R18.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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