ICD-10 · PDGM grouping
R19 Other symptoms and signs involving the digestive system and abdomen
All 26 codes in the R19 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
26
Can lead a claim
0
Cannot lead a claim
26
What CMS assigns to R19
None of the 26 codes is assigned a clinical group. None of the 26 is assigned a comorbidity subgroup. None can lead a claim.
Every code in R19
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| R19.0 Intra-abdominal and pelvic swelling, mass and lump | ||||
| R19.00 | Intra-abdominal and pelvic swelling, mass and lump, unspecified siteCMS: Intra-abd and pelvic swelling, mass and lump, unsp site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.01 | Right upper quadrant abdominal swelling, mass and lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.02 | Left upper quadrant abdominal swelling, mass and lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.03 | Right lower quadrant abdominal swelling, mass and lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.04 | Left lower quadrant abdominal swelling, mass and lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.05 | Periumbilic swelling, mass or lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.06 | Epigastric swelling, mass or lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.07 | Generalized intra-abdominal and pelvic swelling, mass and lumpCMS: Generalized intra-abd and pelvic swelling, mass and lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.09 | Other intra-abdominal and pelvic swelling, mass and lump | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.1 Abnormal bowel sounds | ||||
| R19.11 | Absent bowel sounds | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.12 | Hyperactive bowel sounds | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.15 | Other abnormal bowel sounds | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.2 | Visible peristalsis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.3 Abdominal rigidity | ||||
| R19.30 | Abdominal rigidity, unspecified site | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.31 | Right upper quadrant abdominal rigidity | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.32 | Left upper quadrant abdominal rigidity | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.33 | Right lower quadrant abdominal rigidity | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.34 | Left lower quadrant abdominal rigidity | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.35 | Periumbilic abdominal rigidity | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.36 | Epigastric abdominal rigidity | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.37 | Generalized abdominal rigidity | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.4 | Change in bowel habit | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.5 | Other fecal abnormalities | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.6 | Halitosis | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.7 | Diarrhea, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| R19.8 | Other specified symptoms and signs involving the digestive system and abdomenCMS: Oth symptoms and signs involving the dgstv sys and abdomen | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue