Valid for Submission
R19.7 is a billable diagnosis code used to specify a medical diagnosis of diarrhea, unspecified. The code R19.7 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code R19.7 might also be used to specify conditions or terms like acute diarrhea, alteration in bowel elimination, alteration in bowel elimination: diarrhea, autonomic neuropathy due to diabetes mellitus, brainerd diarrhea , carcinoid syndrome, etc.
Unspecified diagnosis codes like R19.7 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
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.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R19.7:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Diarrhea NOS
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
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 R19.7 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute diarrhea
- Alteration in bowel elimination
- Alteration in bowel elimination: diarrhea
- Autonomic neuropathy due to diabetes mellitus
- Brainerd diarrhea
- Carcinoid syndrome
- Carcinoid syndrome diarrhea
- Chronic constipation with overflow
- Constipation alternates with diarrhea
- Defecation reflex - spurious diarrhea
- Defecation reflex finding
- Diarrhea and vomiting
- Diarrhea and vomiting
- Diarrhea and vomiting, symptom
- Diarrhea due to diabetes mellitus
- Diarrhea in pregnancy
- Diarrhea symptom
- Diarrhea-associated hemolytic uremic syndrome
- Diarrheal disorder
- Digestive symptom
- Hemolytic uremic syndrome
- Hemorrhagic diarrhea
- Hypokalemic alkalosis due to diarrhea
- Increased serotonin level
- Inflammatory diarrhea
- Nausea and vomiting
- Nausea, vomiting and diarrhea
- Non-infective diarrhea
- Osmotic diarrhea
- Protracted diarrhea
- RAPADILINO syndrome
- Secretory diarrhea
- Severe diarrhea
- Spurious diarrhea - overflow
- DIARRHEA VIRUSES BOVINE VIRAL-. a group of viruses in the genus pestivirus causing diarrhea fever oral ulcerations hemorrhagic syndrome and various necrotic lesions among cattle and other domestic animals. the two species genotypes bvdv 1 and bvdv 2 exhibit antigenic and pathological differences. the historical designation bvdv consisted of both then unrecognized genotypes.
- DIARRHEA-. an increased liquidity or decreased consistency of feces such as running stool. fecal consistency is related to the ratio of water holding capacity of insoluble solids to total water rather than the amount of water present. diarrhea is not hyperdefecation or increased fecal weight.
- DIARRHEA INFANTILE-. diarrhea occurring in infants from newborn to 24 months old.
- DYSENTERY-. acute inflammation of the intestine associated with infectious diarrhea of various etiologies generally acquired by eating contaminated food containing toxins biological derived from bacteria or other microorganisms. dysentery is characterized initially by watery feces then by bloody mucoid stools. it is often associated with abdominal pain; fever; and dehydration.
- DIARRHEA VIRUS 1 BOVINE VIRAL-. a species of pestivirus causing systemic infections bovine virus diarrhea mucosal disease in cattle and some other cloven hoofed animals. there are several strains and two biotypes: cytopathic rare and non cytopathic. infections range from clinically inapparent to severe but do not correlate with biotypes.
- DIARRHEA VIRUS 2 BOVINE VIRAL-. a species of pestivirus causing systemic infections including bovine virus diarrhea mucosal disease and bovine hemorrhagic syndrome in cattle and some other cloven hoofed animals. there are several strains and two biotypes: cytopathic rare and non cytopathic. the severity of disease appears to be strain dependent. cytopathogenic effects do not correlate with virulence as non cytopathic bvdv 2 is associated only with hemorrhagic disease bovine.
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|391||ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC||06||1.2444|
|392||ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC||06||0.7644|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert R19.7 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code R19.7 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
What is diarrhea?
Diarrhea is loose, watery stools (bowel movements). You have diarrhea if you have loose stools three or more times in one day. Acute diarrhea is diarrhea that lasts a short time. It is a common problem. It usually lasts about one or two days, but it may last longer. Then it goes away on its own.
Diarrhea lasting more than a few days may be a sign of a more serious problem. Chronic diarrhea -- diarrhea that lasts at least four weeks -- can be a symptom of a chronic disease. Chronic diarrhea symptoms may be continual, or they may come and go.
What causes diarrhea?
The most common causes of diarrhea include
- Bacteria from contaminated food or water
- Viruses such as the flu, norovirus, or rotavirus . Rotavirus is the most common cause of acute diarrhea in children.
- Parasites, which are tiny organisms found in contaminated food or water
- Medicines such as antibiotics, cancer drugs, and antacids that contain magnesium
- Food intolerances and sensitivities, which are problems digesting certain ingredients or foods. An example is lactose intolerance.
- Diseases that affect the stomach, small intestine, or colon, such as Crohn's disease
- Problems with how the colon functions, such as irritable bowel syndrome
Some people also get diarrhea after stomach surgery, because sometimes the surgeries can cause food to move through your digestive system more quickly.
Sometimes no cause can be found. If your diarrhea goes away within a few days, finding the cause is usually not necessary.
Who is at risk for diarrhea?
People of all ages can get diarrhea. On average, adults In the United States have acute diarrhea once a year. Young children have it an average of twice a year.
People who visit developing countries are at risk for traveler's diarrhea. It is caused by consuming contaminated food or water.
What other symptoms might I have with diarrhea?
Other possible symptoms of diarrhea include
- Cramps or pain in the abdomen
- An urgent need to use the bathroom
- Loss of bowel control
If a virus or bacteria is the cause of your diarrhea, you may also have a fever, chills, and bloody stools.
Diarrhea can cause dehydration, which means that your body does not have enough fluid to work properly. Dehydration can be serious, especially for children, older adults, and people with weakened immune systems.
When do I need to see a health care provider for diarrhea?
Although it is usually not harmful, diarrhea can become dangerous or signal a more serious problem. Contact your health care provider if you have
- Signs of dehydration
- Diarrhea for more than 2 days, if you are an adult. For children, contact the provider if it lasts more than 24 hours.
- Severe pain in your abdomen or rectum (for adults)
- A fever of 102 degrees or higher
- Stools containing blood or pus
- Stools that are black and tarry
If children have diarrhea, parents or caregivers should not hesitate to call a health care provider. Diarrhea can be especially dangerous in newborns and infants.
How is the cause of diarrhea diagnosed?
To find the cause of diarrhea, your health care provider may
- Do a physical exam
- Ask about any medicines you are taking
- Test your stool or blood to look for bacteria, parasites, or other signs of disease or infection
- Ask you to stop eating certain foods to see whether your diarrhea goes away
If you have chronic diarrhea, your health care provider may perform other tests to look for signs of disease.
What are the treatments for diarrhea?
Diarrhea is treated by replacing lost fluids and electrolytes to prevent dehydration. Depending on the cause of the problem, you may need medicines to stop the diarrhea or treat an infection.
Adults with diarrhea should drink water, fruit juices, sports drinks, sodas without caffeine, and salty broths. As your symptoms improve, you can eat soft, bland food.
Children with diarrhea should be given oral rehydration solutions to replace lost fluids and electrolytes.
Can diarrhea be prevented?
Two types of diarrhea can be prevented - rotavirus diarrhea and traveler's diarrhea. There are vaccines for rotavirus. They are given to babies in two or three doses.
You can help prevent traveler's diarrhea by being careful about what you eat and drink when you are in developing countries:
- Use only bottled or purified water for drinking, making ice cubes, and brushing your teeth
- If you do use tap water, boil it or use iodine tablets
- Make sure that the cooked food you eat is fully cooked and served hot
- Avoid unwashed or unpeeled raw fruits and vegetables
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
[Learn More in MedlinePlus]