2019

  1. ICD-10-CM Codes
    2. ›
  2. R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    3. ›
  3. R10-R19 Symptoms and signs involving the digestive system and abdomen
    4. ›
  4. R12- Heartburn
    5. ›

2019 ICD-10-CM Diagnosis Code R12

Heartburn

    2016 2017 2018 2019 Billable/Specific Code
  • R12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM R12 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of R12 - other international versions of ICD-10 R12 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R12. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • dyspepsia NOS (
    ICD-10-CM Diagnosis Code R10.13

    Epigastric pain

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Dyspepsia
    Type 1 Excludes
    • functional dyspepsia (K30)
    R10.13
    )
  • functional dyspepsia (
    ICD-10-CM Diagnosis Code K30

    Functional dyspepsia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Indigestion
    Type 1 Excludes
    K30
    )
The following code(s) above R12 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R12:
  • R00-R99
    2019 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R10-R19
    2019 ICD-10-CM Range R10-R19

    Symptoms and signs involving the digestive system and abdomen

    Type 2 Excludes
    • congenital or infantile pylorospasm (Q40.0)
    • gastrointestinal hemorrhage (K92.0-K92.2)
    • intestinal obstruction (K56.-)
    • newborn gastrointestinal hemorrhage (P54.0-P54.3)
    • newborn intestinal obstruction (P76.-)
    • pylorospasm (K31.3)
    • signs and symptoms involving the urinary system (R30-R39)
    • symptoms referable to female genital organs (N94.-)
    • symptoms referable to male genital organs (N48-N50)
    Symptoms and signs involving the digestive system and abdomen
Clinical Information
  • Heartburn is a painful burning feeling in your chest or throat. It happens when stomach acid backs up into your esophagus, the tube that carries food from your mouth to your stomach.if you have heartburn more than twice a week, you may have gerd. But you can have gerd without having heartburn.pregnancy, certain foods, alcohol, and some medications can bring on heartburn. Treating heartburn is important because over time reflux can damage the esophagus. Over-the-counter medicines may help. If the heartburn continues, you may need prescription medicines or surgery. If you have other symptoms such as crushing chest pain, it could be a heart attack. Get help immediately.
  • Substernal pain or burning sensation, usually associated with regurgitation of gastric juice into the esophagus.
ICD-10-CM R12 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
  • 392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

Convert R12 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to R12:
  • Type 1 Excludes: K30
    ICD-10-CM Diagnosis Code K30

    Functional dyspepsia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Indigestion
    Type 1 Excludes

Diagnosis Index entries containing back-references to R12:
  • Brash R12 (water)
  • Heartburn R12
  • Pyrosis R12
  • Waterbrash R12

ICD-10-CM Codes Adjacent To R12
R10.9 Unspecified abdominal pain
R11 Nausea and vomiting
R11.0 Nausea
R11.1 Vomiting
R11.10 …… unspecified
R11.11 …… without nausea
R11.12 Projectile vomiting
R11.13 …… of fecal matter
R11.14 Bilious vomiting
R11.2 Nausea with vomiting, unspecified
R12 Heartburn
R13 Aphagia and dysphagia
R13.0 Aphagia
R13.1 Dysphagia
R13.10 …… unspecified
R13.11 …… oral phase
R13.12 …… oropharyngeal phase
R13.13 …… pharyngeal phase
R13.14 …… pharyngoesophageal phase
R13.19 Other dysphagia
R14 Flatulence and related conditions

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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