Intra-abdominal and pelvic swelling, mass and lump, unspecified site
ICD-10 R19.00 is a billable code used to indicate a diagnosis of intra-abdominal and pelvic swelling, mass and lump, unspecified site.
R19.00 is used to classify cases of intra-abdominal and pelvic swelling, mass, or lump when the specific site is not identified. This code encompasses a variety of clinical presentations that may arise from different underlying conditions, including benign tumors, malignant neoplasms, cysts, abscesses, or organomegaly. Symptoms may include abdominal pain, discomfort, changes in bowel habits, or urinary symptoms, depending on the mass's location and size. Clinical evaluation often involves imaging studies such as ultrasound, CT scans, or MRI to determine the mass's characteristics and potential etiology. Laboratory tests may also be conducted to assess for infection, inflammation, or malignancy. Accurate coding requires thorough documentation of the clinical findings, diagnostic imaging results, and any relevant laboratory tests to support the diagnosis and ensure appropriate reimbursement.
Detailed history and physical examination, imaging results, and lab findings must be documented.
Patients presenting with vague abdominal symptoms and incidental findings on imaging.
Consideration of comorbidities and their impact on the clinical picture.
Acute care documentation must include a thorough assessment of the patient's presenting symptoms and any immediate interventions.
Patients with acute abdominal pain and palpable masses requiring urgent evaluation.
Rapid assessment and documentation are critical in emergency settings to guide treatment.
Used when imaging is performed to evaluate the mass.
Document the reason for the imaging and findings.
Ensure that the imaging report is included in the patient's medical record.
Use R19.00 when there is intra-abdominal or pelvic swelling, mass, or lump, and the specific site is not identified. Ensure that the clinical documentation supports this diagnosis.
