ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R19.7

Billable / Specific

Diarrhea, unspecified

R19
Block
1
Synonyms
830
LCDs
28
Payer Policies
4
Linked CPTs

About ICD-10-CM R19.7

ICD-10-CM code R19.7 represents Diarrhea, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R19). The 2026 edition of ICD-10-CM R19.7 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R19.7. Per CMS ICD-10-CM Tabular 2026.

  • Diarrhea NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with R19.7. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • functional diarrhea (K59.1)
  • neonatal diarrhea (P78.3)
  • psychogenic diarrhea (F45.8)

Medicare LCD Coverage for R19.7

Local Coverage Determinations (LCDs) from CMS MACs that list R19.7 as a covered diagnosis.

830 LCDs

Showing top 10 of 830 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot)
Article ID: 56531, Effective: 2024-10-01 00:00:00, 72 covered, 0 non-covered
CPT J2353 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45398 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44392 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45386 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45378 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44390 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45393 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44394 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44401 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R19.7.

28 policies

5 Medicare

Billing and Coding: Diagnostic Colonoscopy
Policy ID: ART-55937
Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Policy ID: ART-56394
Billing and Coding: Infliximab
Policy ID: ART-56432
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56456
Billing and Coding: Endoscopy by Capsule
Policy ID: ART-56461

CPT Codes Commonly Billed with R19.7

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

4 linkages
  • 87507 CMS LCD: Billing and Coding: Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs) CMS LCD
  • 87505 CMS LCD: Billing and Coding: Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs) CMS LCD
  • 87506 CMS LCD: Billing and Coding: Gastrointestinal Pathogen (GIP) Panels Utilizing Multiplex Nucleic Acid Amplification Techniques (NAATs) CMS LCD
  • J2353 CMS LCD: Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot) CMS LCD

Convert R19.7 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R19.7 78791 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R19.7, Billing FAQ

Is ICD-10 code R19.7 billable? +

Yes, R19.7 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 R19.7? +

ICD-10 R19.7 includes: Diarrhea NOS.

What codes are Type 1 Excludes for R19.7? +

Type 1 Excludes (never code together with R19.7): functional diarrhea (K59.1); neonatal diarrhea (P78.3); psychogenic diarrhea (F45.8)

What CPT codes are commonly billed with R19.7? +

Procedures frequently paired with R19.7 include: 87507, 87505, 87506, J2353.

What ICD-9 codes does R19.7 map to? +

Per CMS GEMs, R19.7 maps to ICD-9 codes: 78791. 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 May 31, 2026.

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