Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

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.
Excludes 2:
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 and signs involving the digestive system and abdomen (R10-R19)

Excludes 2:
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)
R10 Abdominal and pelvic pain [+]
Excludes 1: renal colic (N23)
Excludes 2: dorsalgia (M54.-)
flatulence and related conditions (R14.-)
R11 Nausea 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)
R12 Heartburn
Excludes 1: dyspepsia NOS (R10.13)
functional dyspepsia (K30)
R13 Aphagia and dysphagia [+]
R14 Flatulence and related conditions [+]
Excludes 1: psychogenic aerophagy (F45.8)
R15 Fecal incontinence [+]
Includes: encopresis NOS
Excludes 1: fecal incontinence of nonorganic origin (F98.1)
R16 Hepatomegaly and splenomegaly, not elsewhere classified [+]
R17 Unspecified jaundice
Excludes 1: neonatal jaundice (P55, P57-P59)
R18 Ascites [+]
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)
R19 Other symptoms and signs involving the digestive system and abdomen [+]
Excludes 1: acute abdomen (R10.0)

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