ICD-10 R19.5
Billable / SpecificOther fecal abnormalities
About ICD-10-CM R19.5
ICD-10-CM code R19.5 represents Other fecal abnormalities. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R19). The 2026 edition of ICD-10-CM R19.5 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R19.5. Per CMS ICD-10-CM Tabular 2026.
- Abnormal stool color
- Bulky stools
- Mucus in stools
- Occult blood in feces
- Occult blood in stools
Type 1 Excludes
Pure excludes, these codes can never be coded together with R19.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- melena (K92.1)
- neonatal melena (P54.1)
Medicare LCD Coverage for R19.5
Local Coverage Determinations (LCDs) from CMS MACs that list R19.5 as a covered diagnosis.
Showing top 10 of 786 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R19.5.
5 Medicare
CPT Codes Commonly Billed with R19.5
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 45378 Diagnostic colonoscopy — colorectal screening, family hx colon cancer, polyp, melena, iron def anemia, diverticulosis, ulcerative colitis, Crohn, occult blood, rectal polyp, weight loss, IBS Gastroenterology
- 45380 Colonoscopy with biopsy — colon polyp, neoplasm of colon, melena, iron deficiency anemia, screening, personal hx polyps, UC, occult blood Gastroenterology
- 45381 Colonoscopy with directed submucosal injection — polyp removal facilitation, same dx as polypectomy Gastroenterology
- 91113 CMS LCD: Billing and Coding: Colon Capsule Endoscopy (CCE) CMS LCD
Convert R19.5 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R19.5 | 7877 | 10000 |
| R19.5 | 7921 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R19.5
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R19.5, Billing FAQ
Is ICD-10 code R19.5 billable? +
Yes, R19.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to R19.5? +
ICD-10 R19.5 includes: Abnormal stool color; Bulky stools; Mucus in stools, and 2 more clinical synonyms.
What codes are Type 1 Excludes for R19.5? +
Type 1 Excludes (never code together with R19.5): melena (K92.1); neonatal melena (P54.1)
What CPT codes are commonly billed with R19.5? +
Procedures frequently paired with R19.5 include: 45378, 45380, 45381, 91113.
What ICD-9 codes does R19.5 map to? +
Per CMS GEMs, R19.5 maps to ICD-9 codes: 7877, 7921. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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