2024 ICD-10-CM Diagnosis Code R19.8

Approximate Synonyms

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

• Abdomen hyper-resonant
• Abdomen soft
• Abdominal dullness finding
• Abdominal dullness finding
• Abdominal friction rub
• Abdominal movement diminished
• Abdominal muscle tone - finding
• Abdominal venous hum
• Abdominal wall movement
• Abdominal weakness
• Abnormal anal function
• Abnormal defecation
• Abnormal digestive peristalsis
• Abnormal digestive tract function
• Abnormal excretory function
• Abnormal frequency of defecation
• Abnormal gallbladder function
• Abnormal gastric electrical activity
• Abnormal small bowel motility
• Abnormally hard consistency
• Abnormally soft consistency
• Absent peristalsis
• Accumulation of bile in abdominal cavity
• Alteration in bowel elimination
• Alteration in bowel elimination
• Anorectal tenesmus
• Appearance of anal orifice - finding
• Aware of passing feces
• Ballance sign
• Bile pigment retention
• Bolus impaction
• Bowel palpable per abdomen
• Constant desire to swallow
• Cough impulse in inguinal canal
• Courvoisier's sign
• Cullen's sign
• Decreased digestive peristalsis
• Decreased gastric tonus
• Decreased incisal display at rest
• Decreased incisal display on smiling
• Defecation straining
• Deranged intestinal motility
• Desire for stool
• Desire for stool finding
• Desire for stool finding
• Difficulty in ability to defecate
• Digestive symptom
• Dipping
• Dipping over liver
• Dipping over spleen
• Discoloration of spleen
• Disorder of abdomen
• Dissociative neurological symptom disorder co-occurrent with swallowing symptom
• Does not defecate
• Empty rectum
• Epigastric fullness
• Epigastric sounds present
• Feces in rectum
• Feces palpable in bowel
• Finding of appearance of anus
• Finding of appearance of liver
• Finding of appearance of liver
• Finding of appearance of liver
• Finding of consistency of abdomen
• Finding of consistency of liver
• Finding of consistency of liver
• Finding of consistency of liver
• Finding of contents of rectum
• Finding of contents of rectum
• Finding of contents of rectum
• Finding of contents of rectum
• Finding of contour of abdomen
• Finding of contour of abdomen
• Finding of contour of abdomen
• Finding of contour of abdomen
• Finding of flatus
• Finding of flatus
• Finding of frequency of defecation
• Finding of frequency of defecation
• Finding of movement of abdomen
• Finding of movement of abdomen
• Finding of movement of abdomen
• Finding of movement of abdomen
• Finding of pulsation of abdomen
• Finding of pulsation of liver
• Finding of speed of swallowing
• Finding of speed of swallowing
• Finding of tone of abdomen
• Finding of upper gastrointestinal gas
• Finding related to ability to defecate
• Finding related to ability to defecate
• Finding related to awareness of bowel function
• Finding related to awareness of bowel function
• Finding related to awareness of bowel function
• Flat abdominal contour
• Flattened umbilicus
• Fluid thrill in abdomen
• Frequent defecation
• Friable mucosa of digestive system organ
• Full rectum
• Fullness of rectum due to feces
• Gagging
• Gallbladder palpable
• Gallbladder palpable on inspiration
• Gastrointestinal sensation - finding
• Gastrointestinal sensation - finding
• Gastrointestinal sensation altered
• Gastrointestinal symptom
• Gastrointestinal symptoms reproduced
• Gastrointestinal test finding
• Gastrointestinal test finding
• Gastrointestinal tract mucosal discoloration
• Gastrointestinal tract symptom change
• Generalized abdominal dullness to percussion
• GI tract disease monitoring status
• Granular mucosa of digestive organ structure
• Grey Turner's sign
• Inadequate defecatory propulsion
• Increased gastric motility
• Increased incisal display at rest
• Increased incisal display on smiling
• Increased intestinal motility
• Increased large bowel motility
• Increased liver function
• Increased small bowel motility
• Infrequent bowel action
• Inguinal canal empty
• Intra-abdominal collection
• Intra-abdominal movement
• Intraabdominal pressure above reference range
• Irregular abdominal contour
• Lacking desire for stool
• Lax abdominal wall
• Lesion of rectum
• Liver firm
• Liver irregular
• Liver pulsatile
• Liver soft
• Loaded colon
• Mass of digestive structure
• McBurney's sign
• Mottling
• Mottling
• Mottling of liver
• Mottling of spleen
• Murphy's sign
• Murphy's sign positive
• Named sign of abdomen
• Named sign of anus
• Named sign of gallbladder
• No abdominal movement
• No epigastric sounds
• Nodular mucosa of digestive system organ
• Noises in abdomen
• O sign
• Obese abdomen
• Obturator sign
• Pain of digestive structure
• Pallor of liver
• Pallor of spleen
• Pancreatic sign
• Papilla not found
• Papilla not reached
• Papilla unaccessible
• Paradoxical inward movement of abdomen on inspiration
• Patulous anus - appearance
• Patulous umbilicus
• Pendulous abdomen
• Periumbilical flare
• Psoas sign
• Puddle sign
• Puddle sign positive
• Rapid gastric emptying
• Rectal discharge
• Rectal symptoms
• Rosenbach's sign
• Rovsing's sign
• Sensation
• Sensation
• Sensation
• Sensation as if bowel still full
• Sensation as if diarrhea will start
• Sensation as if stool remains in rectum
• Shifting abdominal dullness
• Shifting abdominal dullness present
• Small bowel peristaltic rush
• Soot around mouth
• Soot in oropharynx
• Sounds in abdomen - finding
• Sounds in abdomen - finding
• Sounds in abdomen - finding
• Sounds in abdomen - finding
• Sounds in abdomen - finding
• Spleen in left sided position
• Splenic rub detected
• Succussion splash - abdomen
• Sunken umbilicus
• Swallowing pattern - finding
• Swallowing pattern - finding
• Swallowing pattern - finding
• Swallowing pattern - finding
• Swallowing pattern - tongue to lip contact
• Swallowing symptoms
• Swallows quickly
• Swallows slowly
• Symptom: abdominal wall
• Tenderness of digestive structure
• Tire sign
• Tongue swallowing
• Unable to break wind
• Unable to burp
• Unaware of passing flatus
• Visible abdominal pulsation
• Weakness present

Clinical Information

• Gagging

  contraction of the muscle of the pharynx caused by stimulation of sensory receptors on the soft palate, by psychic stimuli, or systemically by drugs.

• Globus Sensation

  a feeling of a lump in the throat that occurs between meals in the absence of other gastrointestinal and motility disorders (e.g., dysphagia; gastroesophageal reflux).

• Hyperalgesia

  an increased sensation of pain or discomfort produced by minimally noxious stimuli due to damage to soft tissue containing nociceptors or injury to a peripheral nerve.

• Hyperesthesia

  increased sensitivity to cutaneous stimulation due to a diminished threshold or an increased response to stimuli.

• Hypesthesia

  absent or reduced sensitivity to cutaneous stimulation.

• Phantom Limb

  perception of painful and nonpainful phantom sensations that occur following the complete or partial loss of a limb. the majority of individuals with an amputated extremity will experience the impression that the limb is still present, and in many cases, painful. (from neurol clin 1998 nov;16(4):919-36; brain 1998 sep;121(pt 9):1603-30)

• Sensation

  the process in which specialized sensory receptor cells transduce peripheral stimuli (physical or chemical) into nerve impulses which are then transmitted to the various sensory centers in the central nervous system.

• Sensation Disorders

  disorders of the special senses (i.e., vision; hearing; taste; and smell) or somatosensory system (i.e., afferent components of the peripheral nervous system).

• Somatosensory Disorders

  disorders of sensory information received from superficial and deep regions of the body. the somatosensory system conveys neural impulses which pertain to proprioception, tactile sensation, thermal sensation, pressure sensation, and pain. peripheral nervous system diseases; spinal cord diseases; and brain diseases may be associated with impaired or abnormal somatic sensation.

• Vertigo

  an illusion of movement, either of the external world revolving around the individual or of the individual revolving in space. vertigo may be associated with disorders of the inner ear (ear, inner); vestibular nerve; brainstem; or cerebral cortex. lesions in the temporal lobe and parietal lobe may be associated with focal seizures that may feature vertigo as an ictal manifestation. (from adams et al., principles of neurology, 6th ed, pp300-1)

• Nociceptors

  peripheral afferent neurons which are sensitive to injuries or pain, usually caused by extreme thermal exposures, mechanical forces, or other noxious stimuli. their cell bodies reside in the dorsal root ganglia. their peripheral terminals (nerve endings) innervate target tissues and transduce noxious stimuli via axons to the central nervous system.

• Gagging

  the sudden, coordinated, involuntary contraction of pharyngeal muscles in an attempt to prevent any matter from passing into the posterior pharynx; it is stimulated by touching the posterior palate, tongue, or pharynx, or by psychic stimuli.

R19.8 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

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 R19.8 to ICD-9-CM

• ICD-9-CM Code: 787.99 - Digestve syst symptm NEC
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
• ICD-9-CM Code: 789.9 - Abdomen/pelvis symp NEC
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Digestive Diseases

When you eat, your body breaks food down to a form it can use to build and nourish cells and provide energy. This process is called digestion.

Your digestive system is a series of hollow organs joined in a long, twisting tube. It runs from your mouth to your anus and includes your esophagus, stomach, and small and large intestines. Your liver, gallbladder and pancreas are also involved. They produce juices to help digestion.

There are many types of digestive disorders. The symptoms vary widely depending on the problem. In general, you should see your doctor if you have:

• Blood in your stool
• Changes in bowel habits
• Severe abdominal pain
• Unintentional weight loss
• Heartburn not relieved by antacids

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.