Periumbilic swelling, mass or lump
ICD-10 R19.05 is a billable code used to indicate a diagnosis of periumbilic swelling, mass or lump.
Periumbilic swelling, mass, or lump refers to any abnormal enlargement or protrusion located around the umbilicus (navel). This condition can arise from various underlying causes, including hernias, tumors, infections, or inflammatory processes. Clinically, patients may present with localized tenderness, changes in skin color, or associated gastrointestinal symptoms such as pain, nausea, or changes in bowel habits. The swelling may be soft or firm, reducible or non-reducible, and can vary in size. Diagnostic evaluation often includes physical examination, imaging studies such as ultrasound or CT scans, and laboratory tests to assess for infection or other underlying conditions. Accurate identification of the cause of the periumbilic mass is crucial for appropriate management and treatment.
Detailed history and physical examination findings, including size, tenderness, and associated symptoms.
Patients presenting with abdominal pain and a palpable mass in the periumbilical region.
Consideration of chronic conditions that may contribute to swelling, such as ascites or inflammatory bowel disease.
Acute care documentation must include immediate assessment findings, imaging results, and any interventions performed.
Acute presentations of abdominal pain with sudden onset of periumbilical swelling.
Rapid assessment for potential surgical emergencies, such as strangulated hernias.
Used when evaluating a patient with periumbilical swelling during an office visit.
Document history, examination findings, and medical decision-making.
Internal medicine may require more detailed chronic disease management documentation.
Documentation should include the size, tenderness, and characteristics of the mass, any associated symptoms, and results from imaging studies if performed.
