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v1.0.0
ICD-10 Guide
ICD-10 CodesR19.2

R19.2

Visible peristalsis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R19.2 is a billable code used to indicate a diagnosis of visible peristalsis.

Key Diagnostic Point:

Visible peristalsis refers to the observable contractions of the gastrointestinal tract, particularly in the stomach and intestines, which can be seen through the abdominal wall. This phenomenon is often indicative of underlying gastrointestinal disorders, such as bowel obstruction, severe gastroenteritis, or other motility disorders. In healthy individuals, peristalsis is typically not visible; however, in certain pathological conditions, it can become pronounced due to increased intestinal activity or obstruction. The presence of visible peristalsis may be accompanied by other symptoms such as abdominal pain, distension, nausea, or vomiting. Clinicians often assess this sign during a physical examination, particularly in patients presenting with acute abdominal complaints. Understanding the context and potential causes of visible peristalsis is crucial for accurate diagnosis and management, as it can guide further diagnostic testing and treatment options.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can cause visible peristalsis.
  • Need for thorough documentation of associated symptoms.
  • Potential overlap with other gastrointestinal codes.
  • Variability in clinical presentation among patients.

Audit Risk Factors

  • Inadequate documentation of the clinical context leading to visible peristalsis.
  • Failure to link visible peristalsis to a definitive diagnosis.
  • Misinterpretation of visible peristalsis as a standalone diagnosis.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history and physical examination notes, including associated symptoms and findings.

Common Clinical Scenarios

Patients presenting with abdominal pain, nausea, and visible peristalsis during examination.

Billing Considerations

Ensure to document any diagnostic tests performed to evaluate the cause of visible peristalsis.

Emergency Medicine

Documentation Requirements

Acute care documentation including vital signs, immediate assessment findings, and any interventions performed.

Common Clinical Scenarios

Patients with acute abdomen presenting with visible peristalsis and signs of obstruction.

Billing Considerations

Document the urgency of the situation and any immediate treatments administered.

Coding Guidelines

Inclusion Criteria

Use R19.2 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that R19
  • 2 is used only when visible peristalsis is documented as a significant finding in the clinical context
  • It should not be used as a primary diagnosis unless it is the main reason for the visit

Exclusion Criteria

Do NOT use R19.2 When
No specific exclusions found.

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents with visible peristalsis and requires moderate complexity evaluation.

Documentation Requirements

Document the patient's presenting symptoms, examination findings, and any diagnostic tests performed.

Specialty Considerations

Emergency medicine providers should ensure that the urgency of the situation is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like visible peristalsis, improving the granularity of data for clinical analysis and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like visible peristalsis, improving the granularity of data for clinical analysis and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should R19.2 be used?

R19.2 should be used when visible peristalsis is documented as a significant finding during a clinical examination, particularly in the context of gastrointestinal disorders.