Other intra-abdominal and pelvic swelling, mass and lump
ICD-10 R19.09 is a billable code used to indicate a diagnosis of other intra-abdominal and pelvic swelling, mass and lump.
R19.09 is used to classify cases where patients present with intra-abdominal or pelvic swelling, mass, or lump that does not fit into more specific categories. This code encompasses a variety of clinical scenarios, including but not limited to benign tumors, cysts, abscesses, and other non-specific masses. Symptoms may include abdominal pain, discomfort, changes in bowel habits, or urinary symptoms depending on the mass's location and nature. Clinical findings may include palpable masses during physical examination, imaging results such as ultrasound or CT scans showing abnormal growths, and laboratory findings that may indicate infection or inflammation. Accurate coding requires a thorough understanding of the patient's clinical presentation and the exclusion of other more specific diagnoses.
Detailed history and physical examination findings, imaging results, and any laboratory tests performed.
Patients presenting with abdominal pain and a palpable mass found during examination.
Ensure that all relevant imaging and lab results are documented to support the diagnosis.
Acute care notes, including initial assessment, imaging studies, and any interventions performed.
Patients presenting with acute abdominal pain and swelling requiring immediate evaluation.
Document the urgency of the situation and any immediate treatments provided.
Used to evaluate the cause of abdominal swelling or mass.
Document the reason for the CT scan and findings.
Ensure that the imaging is justified based on clinical symptoms.
Use R19.09 when the clinical findings indicate an intra-abdominal or pelvic mass, but no specific diagnosis is available or when the mass does not fit into other defined categories.
