2023 ICD-10-CM Diagnosis Code R19.4

Change in bowel habit

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
  • R19.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM R19.4 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R19.4 - other international versions of ICD-10 R19.4 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 R19.4. 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.
  • constipation (
    ICD-10-CM Diagnosis Code K59.0

    Constipation

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    K59.0-
    )
  • functional diarrhea (
    ICD-10-CM Diagnosis Code K59.1

    Functional diarrhea

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Type 1 Excludes
    • diarrhea NOS (R19.7)
    • irritable bowel syndrome with diarrhea (K58.0)
    K59.1
    )
The following code(s) above R19.4 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 R19.4:
  • R00-R99
    2023 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
    2023 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
  • R19
    ICD-10-CM Diagnosis Code R19

    Other symptoms and signs involving the digestive system and abdomen

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Other symptoms and signs involving the digestive system and abdomen
Approximate Synonyms
  • Altered bowel function
ICD-10-CM R19.4 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
  • 392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

Convert R19.4 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
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to R19.4:
  • Type 1 Excludes: K59
    ICD-10-CM Diagnosis Code K59

    Other functional intestinal disorders

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • change in bowel habit NOS (R19.4)
    • intestinal malabsorption (K90.-)
    • psychogenic intestinal disorders (F45.8)
    Type 2 Excludes
    • functional disorders of stomach (K31.-)

Diagnosis Index entries containing back-references to R19.4:

ICD-10-CM Codes Adjacent To R19.4
R19.2 Visible peristalsis
R19.3 Abdominal rigidity
R19.30 …… unspecified site
R19.31 Right upper quadrant abdominal rigidity
R19.32 Left upper quadrant abdominal rigidity
R19.33 Right lower quadrant abdominal rigidity
R19.34 Left lower quadrant abdominal rigidity
R19.35 Periumbilic abdominal rigidity
R19.36 Epigastric abdominal rigidity
R19.37 Generalized abdominal rigidity
R19.4 Change in bowel habit
R19.5 Other fecal abnormalities
R19.6 Halitosis
R19.7 Diarrhea, unspecified
R19.8 Other specified symptoms and signs involving the digestive system and abdomen
R20 Disturbances of skin sensation
R20.0 Anesthesia of skin
R20.1 Hypoesthesia of skin
R20.2 Paresthesia of skin
R20.3 Hyperesthesia
R20.8 Other disturbances of skin sensation

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