ICD Code R19.4

ICD code R19.4 is a diagnosis code used to indicate a change in bowel habit, such as alterations in frequency, consistency, or pattern of bowel movements.

1. Persistent alteration in frequency of bowel movements (either increased or decreased)

2. Noticeable change in stool consistency (e.g., from formed to loose or vice versa)

3. Unexplained onset of constipation or diarrhea

4. Fluctuation between constipation and diarrhea without clear etiology

5. Change in timing or pattern of bowel movements (e.g., new onset of nocturnal bowel movements)

6. Absence of identifiable underlying gastrointestinal disease after initial evaluation

7. Accompanying symptoms may include abdominal discomfort, bloating, or urgency without a specific diagnosis

Relevant CPT codes that may be used to treat ICD code R19.4 include:

- 99202–99215 (Evaluation and Management office visits)

- 45378 (Diagnostic colonoscopy)

- 45380 (Colonoscopy with biopsy)

- 45385 (Colonoscopy with polypectomy)

- 82270 (Fecal occult blood test)

- 87505 (Infectious agent detection by nucleic acid, gastrointestinal pathogen panel)

- 74261 (CT colonography, screening)

- 91110 (Gastrointestinal tract imaging, capsule endoscopy)

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