2027 ICD-10-CM Diagnosis Code R19.6Halitosis

ICD-10-CM Codes›R00–R99›R10-R19›R19

ICD-10-CM R19.6
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

R19.6 is a billable ICD-10-CM diagnosis code for halitosis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 154 through 156. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as autosomal recessive extra-oral halitosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Abdominal pain and other digestive/abdomen signs and symptoms.

Code Identity

ICD-10-CM Code
R19.6
Billable Status
Yes — Valid for Submission
Code Describes
Halitosis
Short Description
Halitosis
Same as the full description in the CMS dataset.
Parent Code
Other symptoms and signs involving the digestive system and abdomen

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR10-R19Symptoms and signs involving the digestive system and abdomen
CategoryR19Other symptoms and signs involving the digestive system and abdomen
This CodeR19.6Halitosis

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Autosomal recessive extra-oral halitosis
  • Breath smells unpleasant
  • Fetor hepaticus
  • Garlic breath
  • Ketotic breath
  • Lead breath
  • Onion breath
  • Smell of alcohol on breath
  • Smell of breath - finding
  • Uremic breath

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to R19.6: its own notes plus those printed at R19, block R10-R19, and Chapter 18. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From R19 Other symptoms and signs involving the digestive system and abdomen applies to 26 codes

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block R10-R19 Symptoms and signs involving the digestive system and abdomen applies to 99 codes
  • congenital or infantile pylorospasm (Q40.0)
  • gastrointestinal hemorrhage (K92.0-K92.2)
  • intestinal obstruction (K56.-)
  • newborn gastrointestinal hemorrhage (P54.0-P54.3)
  • newborn intestinal obstruction (P76.-)
  • pylorospasm (K31.3)
  • signs and symptoms involving the urinary system (R30-R39)
  • symptoms referable to female genital organs (N94.-)
  • symptoms referable to male genital organs (N48-N50)
From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Notes

General instructions on how these codes are used.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
  • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
  • The conditions and signs or symptoms included in categories R00-R94 consist of:
  • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
  • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
  • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
  • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
  • (e) cases in which a more precise diagnosis was not available for any other reason;
  • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR SYM006
Abdominal pain and other digestive/abdomen signs and symptoms
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Halitosis

    an offensive, foul breath odor resulting from a variety of causes such as poor oral hygiene, dental or oral infections, or the ingestion of certain foods.

Patient EducationClinical

Mouth Disorders

Your mouth is one of the most important parts of your body. It has many different functions. It allows you to:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert R19.6 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
784.99 Head & neck symptoms NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About R19.6Overview

What is the ICD-10 code for halitosis?

The ICD-10-CM code for halitosis is R19.6 (sometimes written as R196). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is R19.6 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report halitosis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does R19.6 group to?

When halitosis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 156, 155, 154, with relative weights from 0.6656 to 1.5916 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R19.6 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the halitosis is established, that condition takes the principal position instead.

Can R19.6 be reported with R10.0?

Not as a rule. The Excludes1 note at R19, which applies to R19.6, lists "acute abdomen (R10.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).