2021 ICD-10-CM Code R19.35 - Periumbilic abdominal rigidity

Valid for Submission

R19.35 is a billable diagnosis code used to specify a medical diagnosis of periumbilic abdominal rigidity. The code R19.35 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.

The ICD-10-CM code R19.35 might also be used to specify conditions or terms like abdominal rigidity of periumbilical region, guarding of umbilical region, o/e - guarding - umbilical or o/e - guarding on palpation.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Code Classification

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
- Symptoms and signs involving the digestive system and abdomen (R10-R19)
  - Oth symptoms and signs involving the dgstv sys and abdomen (R19)

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R19.35 are found in the index:

- Rigid, rigidity - See Also: condition;
- - abdominal - R19.30
  - - periumbilic - R19.35

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Abdominal rigidity of periumbilical region
Guarding of umbilical region
O/E - guarding - umbilical
O/E - guarding on palpation

Diagnostic Related Groups - MS-DRG Mapping

The ICD-10 code R19.35 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2021.

393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC - Relative Weight: 1.6536
394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC - Relative Weight: 0.9386
395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC - Relative Weight: 0.6497

Convert R19.35 to ICD-9 Code

789.45 - Abdmnal rgdt periumbilic

Information for Patients

Abdominal Pain

Also called: Bellyache

Your abdomen extends from below your chest to your groin. Some people call it the stomach, but your abdomen contains many other important organs. Pain in the abdomen can come from any one of them. The pain may start somewhere else, such as your chest. Severe pain doesn't always mean a serious problem. Nor does mild pain mean a problem is not serious.

Call your health care provider if mild pain lasts a week or more or if you have pain with other symptoms. Get medical help immediately if

You have abdominal pain that is sudden and sharp
You also have pain in your chest, neck or shoulder
You're vomiting blood or have blood in your stool
Your abdomen is stiff, hard and tender to touch
You can't move your bowels, especially if you're also vomiting

Abdominal pain (Medical Encyclopedia)
Flank pain (Medical Encyclopedia)

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Code History

FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)

ICD-10:	R19.35
Short Description:	Periumbilic abdominal rigidity
Long Description:	Periumbilic abdominal rigidity