Intra-abdominal and pelvic swelling, mass and lump
ICD-10 R19.0 is a billable code used to indicate a diagnosis of intra-abdominal and pelvic swelling, mass and lump.
R19.0 refers to the clinical presentation of intra-abdominal and pelvic swelling, mass, or lump that is not classified elsewhere. This code encompasses a variety of conditions that may present as palpable masses or swelling in the abdominal or pelvic regions. Common symptoms associated with this code include abdominal pain, discomfort, changes in bowel habits, and urinary symptoms, depending on the underlying cause. The swelling may be due to benign conditions such as cysts, lipomas, or organomegaly, or it may indicate more serious pathologies such as tumors, abscesses, or hematomas. Clinical evaluation often involves physical examination, imaging studies (such as ultrasound, CT, or MRI), and laboratory tests to determine the nature of the mass and guide further management. Accurate coding requires thorough documentation of the clinical findings and any diagnostic workup performed.
Detailed history and physical examination findings, imaging results, and any laboratory tests performed.
Patients presenting with abdominal pain and a palpable mass during a routine examination.
Ensure to document the size, location, and characteristics of the mass, as well as any associated symptoms.
Acute care documentation including vital signs, immediate findings, and any imaging or lab results obtained in the emergency setting.
Patients presenting with acute abdominal pain and a suspected intra-abdominal mass requiring urgent evaluation.
Document the urgency of the situation and any interventions performed, as well as the rationale for imaging studies.
Used when imaging is required to evaluate the mass.
Document the reason for the imaging and findings.
Ensure imaging results are linked to the diagnosis.
Use R19.0 when a patient presents with intra-abdominal or pelvic swelling, mass, or lump that is not classified elsewhere, ensuring that all clinical findings and diagnostic workup are well documented.