Symptoms and signs involving the digestive system and abdomen (R10-R19)

R10Abdominal and pelvic pain
Excludes 1: renal colic (N23)
Excludes 2: dorsalgia (M54.-)
› flatulence and related conditions (R14.-)

R10.0Acute abdomen
› Severe abdominal pain (generalized) (with abdominal rigidity)
Excludes 1: abdominal rigidity NOS (R19.3)
› generalized abdominal pain NOS (R10.84)
› localized abdominal pain (R10.1-R10.3-)

R10.1Pain localized to upper abdomen

R10.10Upper abdominal pain, unspecified

R10.11Right upper quadrant pain

R10.12Left upper quadrant pain

R10.13Epigastric pain
› Dyspepsia
Excludes 1: functional dyspepsia (K30)

R10.2Pelvic and perineal pain
Excludes 1: vulvodynia (N94.81)

R10.3Pain localized to other parts of lower abdomen

R10.30Lower abdominal pain, unspecified

R10.31Right lower quadrant pain

R10.32Left lower quadrant pain

R10.33Periumbilical pain

R10.8Other abdominal pain

R10.81Abdominal tenderness
› Abdominal tenderness NOS

R10.811Right upper quadrant abdominal tenderness

R10.812Left upper quadrant abdominal tenderness

R10.813Right lower quadrant abdominal tenderness

R10.814Left lower quadrant abdominal tenderness

R10.815Periumbilic abdominal tenderness

R10.816Epigastric abdominal tenderness

R10.817Generalized abdominal tenderness

R10.819Abdominal tenderness, unspecified site

R10.82Rebound abdominal tenderness

R10.821Right upper quadrant rebound abdominal tenderness

R10.822Left upper quadrant rebound abdominal tenderness

R10.823Right lower quadrant rebound abdominal tenderness

R10.824Left lower quadrant rebound abdominal tenderness

R10.825Periumbilic rebound abdominal tenderness

R10.826Epigastric rebound abdominal tenderness

R10.827Generalized rebound abdominal tenderness

R10.829Rebound abdominal tenderness, unspecified site

R10.83Colic
› Colic NOS
› Infantile colic
Excludes 1: colic in adult and child over 12 months old (R10.84)

R10.84Generalized abdominal pain
Excludes 1: generalized abdominal pain associated with acute abdomen (R10.0)

R10.9Unspecified abdominal pain

R11Nausea and vomiting
Excludes 1: cyclical vomiting associated with migraine (G43.A-)
› excessive vomiting in pregnancy (O21.-)
› hematemesis (K92.0)
› neonatal hematemesis (P54.0)
› newborn vomiting (P92.0-)
› psychogenic vomiting (F50.89)
› vomiting associated with bulimia nervosa (F50.2)
› vomiting following gastrointestinal surgery (K91.0)

R11.0Nausea
› Nausea NOS
› Nausea without vomiting

R11.1Vomiting

R11.10Vomiting, unspecified
› Vomiting NOS

R11.11Vomiting without nausea

R11.12Projectile vomiting

R11.13Vomiting of fecal matter

R11.14Bilious vomiting
› Bilious emesis

R11.15Cyclical vomiting syndrome unrelated to migraine
› Cyclic vomiting syndrome NOS
› Persistent vomiting
Excludes 1: cyclical vomiting in migraine (G43.A-)
Excludes 2: bulimia nervosa (F50.2)
› diabetes mellitus due to underlying condition (E08.-)

R11.2Nausea with vomiting, unspecified
› Persistent nausea with vomiting NOS

R12Heartburn
Excludes 1: dyspepsia NOS (R10.13)
› functional dyspepsia (K30)

R13Aphagia and dysphagia

R13.0Aphagia
› Inability to swallow
Excludes 1: psychogenic aphagia (F50.9)

R13.1Dysphagia
Code First: , if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)
Excludes 1: psychogenic dysphagia (F45.8)

R13.10Dysphagia, unspecified
› Difficulty in swallowing NOS

R13.11Dysphagia, oral phase

R13.12Dysphagia, oropharyngeal phase

R13.13Dysphagia, pharyngeal phase

R13.14Dysphagia, pharyngoesophageal phase

R13.19Other dysphagia
› Cervical dysphagia
› Neurogenic dysphagia

R14Flatulence and related conditions
Excludes 1: psychogenic aerophagy (F45.8)

R14.0Abdominal distension (gaseous)
› Bloating
› Tympanites (abdominal) (intestinal)

R14.1Gas pain

R14.2Eructation

R14.3Flatulence

R15Fecal incontinence
Includes: encopresis NOS
Excludes 1: fecal incontinence of nonorganic origin (F98.1)

R15.0Incomplete defecation
Excludes 1: constipation (K59.0-)
› fecal impaction (K56.41)

R15.1Fecal smearing
› Fecal soiling

R15.2Fecal urgency

R15.9Full incontinence of feces
› Fecal incontinence NOS

R16Hepatomegaly and splenomegaly, not elsewhere classified

R16.0Hepatomegaly, not elsewhere classified
› Hepatomegaly NOS

R16.1Splenomegaly, not elsewhere classified
› Splenomegaly NOS

R16.2Hepatomegaly with splenomegaly, not elsewhere classified
› Hepatosplenomegaly NOS

R17Unspecified jaundice
Excludes 1: neonatal jaundice (P55, P57-P59)

R18Ascites
Includes: fluid in peritoneal cavity
Excludes 1: ascites in alcoholic cirrhosis (K70.31)
› ascites in alcoholic hepatitis (K70.11)
› ascites in toxic liver disease with chronic active hepatitis (K71.51)

R18.0Malignant ascites
Code First: malignancy, such as:
› malignant neoplasm of ovary (C56.-)
› secondary malignant neoplasm of retroperitoneum and peritoneum (C78.6)

R18.8Other ascites
› Ascites NOS
› Peritoneal effusion (chronic)

R19Other symptoms and signs involving the digestive system and abdomen
Excludes 1: acute abdomen (R10.0)

R19.0Intra-abdominal and pelvic swelling, mass and lump
Excludes 1: abdominal distension (gaseous) (R14.-)
› ascites (R18.-)

R19.00Intra-abdominal and pelvic swelling, mass and lump, unspecified site

R19.01Right upper quadrant abdominal swelling, mass and lump

R19.02Left upper quadrant abdominal swelling, mass and lump

R19.03Right lower quadrant abdominal swelling, mass and lump

R19.04Left lower quadrant abdominal swelling, mass and lump

R19.05Periumbilic swelling, mass or lump
› Diffuse or generalized umbilical swelling or mass

R19.06Epigastric swelling, mass or lump

R19.07Generalized intra-abdominal and pelvic swelling, mass and lump
› Diffuse or generalized intra-abdominal swelling or mass NOS
› Diffuse or generalized pelvic swelling or mass NOS

R19.09Other intra-abdominal and pelvic swelling, mass and lump

R19.1Abnormal bowel sounds

R19.11Absent bowel sounds

R19.12Hyperactive bowel sounds

R19.15Other abnormal bowel sounds
› Abnormal bowel sounds NOS

R19.2Visible peristalsis
› Hyperperistalsis

R19.3Abdominal rigidity
Excludes 1: abdominal rigidity with severe abdominal pain (R10.0)

R19.30Abdominal rigidity, unspecified site

R19.31Right upper quadrant abdominal rigidity

R19.32Left upper quadrant abdominal rigidity

R19.33Right lower quadrant abdominal rigidity

R19.34Left lower quadrant abdominal rigidity

R19.35Periumbilic abdominal rigidity

R19.36Epigastric abdominal rigidity

R19.37Generalized abdominal rigidity

R19.4Change in bowel habit
Excludes 1: constipation (K59.0-)
› functional diarrhea (K59.1)

R19.5Other fecal abnormalities
› Abnormal stool color
› Bulky stools
› Mucus in stools
› Occult blood in feces
› Occult blood in stools
Excludes 1: melena (K92.1)
› neonatal melena (P54.1)

R19.6Halitosis

R19.7Diarrhea, unspecified
› Diarrhea NOS
Excludes 1: functional diarrhea (K59.1)
› neonatal diarrhea (P78.3)
› psychogenic diarrhea (F45.8)

R19.8Other specified symptoms and signs involving the digestive system and abdomen