Symptoms and signs involving the digestive system and abdomen (R10-R19)
ICD-10 codes R10-R19 cover a wide range of symptoms and signs related to the digestive system and abdomen, including various types of abdominal pain, nausea, vomiting, and abnormal bowel or abdominal findings. These codes are used to classify patient complaints and signs when a precise diagnosis may not be established yet.
This range includes codes for detailed locations and types of abdominal pain, such as acute abdomen (R10.0), upper quadrant pain, pelvic pain (R10.2), and generalized abdominal tenderness (R10.817). It also encompasses nausea and vomiting codes (R11), covering symptoms from simple nausea through specific types like bilious vomiting (R11.14) or cyclical vomiting syndrome (R11.15). The chapter further includes swallowing difficulties labeled aphagia and dysphagia (R13), with precise subcategories to specify phases of swallowing impairment. Other symptoms in this range include flatulence and abdominal distension (R14), fecal incontinence (R15), and signs of organ enlargement like hepatomegaly and splenomegaly (R16). Additionally, codes covering jaundice (R17) and ascites (R18) help capture abnormal clinical findings related to fluid accumulation. Finally, R19 codes describe a variety of other digestive and abdominal signs such as masses, abnormal bowel sounds, rigidity, and changes in bowel habits.
Using synonyms such as "acute abdominal pain" for R10.0, "rebound abdominal tenderness" for R10.82, or "flatulence" for R14.3 aids coders in accurately selecting codes based on symptom descriptions. This comprehensive collection assists healthcare professionals in documenting presenting symptoms and physical findings that guide further diagnosis and treatment of digestive and abdominal conditions.
- Abdominal and pelvic pain (R10)
- Nausea and vomiting (R11)
- Heartburn (R12)
- Aphagia and dysphagia (R13)
- Flatulence and related conditions (R14)
- Fecal incontinence (R15)
- Hepatomegaly and splenomegaly, not elsewhere classified (R16
- Unspecified jaundice (R17)
- Ascites (R18)
- Other symptoms and signs involving the digestive system and
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
Symptoms and signs involving the digestive system and abdomen (R10-R19)
R10 Abdominal and pelvic pain
- R10.0 Acute abdomen
R10.1 Pain localized to upper abdomen
- R10.10 Upper abdominal pain, unspecified
- R10.11 Right upper quadrant pain
- R10.12 Left upper quadrant pain
- R10.13 Epigastric pain
- R10.2 Pelvic and perineal pain
R10.3 Pain localized to other parts of lower abdomen
- R10.30 Lower abdominal pain, unspecified
- R10.31 Right lower quadrant pain
- R10.32 Left lower quadrant pain
- R10.33 Periumbilical pain
R10.8 Other abdominal pain
R10.81 Abdominal tenderness
- R10.811 Right upper quadrant abdominal tenderness
- R10.812 Left upper quadrant abdominal tenderness
- R10.813 Right lower quadrant abdominal tenderness
- R10.814 Left lower quadrant abdominal tenderness
- R10.815 Periumbilic abdominal tenderness
- R10.816 Epigastric abdominal tenderness
- R10.817 Generalized abdominal tenderness
- R10.819 Abdominal tenderness, unspecified site
R10.82 Rebound abdominal tenderness
- R10.821 Right upper quadrant rebound abdominal tenderness
- R10.822 Left upper quadrant rebound abdominal tenderness
- R10.823 Right lower quadrant rebound abdominal tenderness
- R10.824 Left lower quadrant rebound abdominal tenderness
- R10.825 Periumbilic rebound abdominal tenderness
- R10.826 Epigastric rebound abdominal tenderness
- R10.827 Generalized rebound abdominal tenderness
- R10.829 Rebound abdominal tenderness, unspecified site
- R10.83 Colic
- R10.84 Generalized abdominal pain
- R10.9 Unspecified abdominal pain
Abdominal and pelvic pain (R10)
R11 Nausea and vomiting
- R11.0 Nausea
R11.1 Vomiting
- R11.10 Vomiting, unspecified
- R11.11 Vomiting without nausea
- R11.12 Projectile vomiting
- R11.13 Vomiting of fecal matter
- R11.14 Bilious vomiting
- R11.15 Cyclical vomiting syndrome unrelated to migraine
- R11.2 Nausea with vomiting, unspecified
Nausea and vomiting (R11)
- R12 Heartburn
Heartburn (R12)
R16 Hepatomegaly and splenomegaly, not elsewhere classified
- R16.0 Hepatomegaly, not elsewhere classified
- R16.1 Splenomegaly, not elsewhere classified
- R16.2 Hepatomegaly with splenomegaly, not elsewhere classified
Hepatomegaly and splenomegaly, not elsewhere classified (R16)
- R17 Unspecified jaundice
Unspecified jaundice (R17)
R18 Ascites
- R18.0 Malignant ascites
- R18.8 Other ascites
Ascites (R18)
R19 Other symptoms and signs involving the digestive system and abdomen
R19.0 Intra-abdominal and pelvic swelling, mass and lump
- R19.00 Intra-abdominal and pelvic swelling, mass and lump, unspecified site
- R19.01 Right upper quadrant abdominal swelling, mass and lump
- R19.02 Left upper quadrant abdominal swelling, mass and lump
- R19.03 Right lower quadrant abdominal swelling, mass and lump
- R19.04 Left lower quadrant abdominal swelling, mass and lump
- R19.05 Periumbilic swelling, mass or lump
- R19.06 Epigastric swelling, mass or lump
- R19.07 Generalized intra-abdominal and pelvic swelling, mass and lump
- R19.09 Other intra-abdominal and pelvic swelling, mass and lump
R19.1 Abnormal bowel sounds
- R19.11 Absent bowel sounds
- R19.12 Hyperactive bowel sounds
- R19.15 Other abnormal bowel sounds
- R19.2 Visible peristalsis
R19.3 Abdominal rigidity
- R19.30 Abdominal rigidity, unspecified site
- R19.31 Right upper quadrant abdominal rigidity
- R19.32 Left upper quadrant abdominal rigidity
- R19.33 Right lower quadrant abdominal rigidity
- R19.34 Left lower quadrant abdominal rigidity
- R19.35 Periumbilic abdominal rigidity
- R19.36 Epigastric abdominal rigidity
- R19.37 Generalized abdominal rigidity
- R19.4 Change in bowel habit
- R19.5 Other fecal abnormalities
- R19.6 Halitosis
- R19.7 Diarrhea, unspecified
- R19.8 Other specified symptoms and signs involving the digestive system and abdomen
Other symptoms and signs involving the digestive system and abdomen (R19)
Instructional Notations
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- 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