ICD-10-CM 2027 diagnosis code
R19.2Visible peristalsis
R19.2 is a valid, billable ICD-10-CM code for visible peristalsis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Looking up by condition? See ICD-10 code for Peristalsis, ICD-10 code for Hyperperistalsis, ICD-10 code for Reverse peristalsis, ICD-10 code for Visible peristalsis.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About R19.2
R19.2 is the ICD-10-CM diagnosis code for visible peristalsis. It belongs to category R19 (other symptoms and signs involving the digestive system and abdomen), block R10-R19 (symptoms and signs involving the digestive system and abdomen) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within R19 (other symptoms and signs involving the digestive system and abdomen), R19.2 is specifically for visible peristalsis. Related codes cover intra-abdominal and pelvic swelling, mass and lump (R19.0), abnormal bowel sounds (R19.1), abdominal rigidity (R19.3), change in bowel habit (R19.4), other fecal abnormalities (R19.5), Halitosis (R19.6), diarrhea, unspecified (R19.7) and other specified symptoms and signs involving the digestive system and abdomen (R19.8).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC, relative weight 1.2392) and DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC, relative weight 0.7645), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 787.4 (visible peristalsis).
Coding notes
- Hyperperistalsis
Notes that apply from higher levels
Instructions written at a parent level also apply to R19.2.
› From R19 Other symptoms and signs involving the digestive system and abdomen
- acute abdomen (R10.0)
Broader instructions also apply from R10-R19 Symptoms and signs involving the digestive system and abdomen and Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified.
Alphabetic index entries
4 entriesTerms in the official ICD-10-CM index that lead to R19.2.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 06 · Diseases and Disorders of the Digestive System
ICD-9-CM equivalent
Converter →- 787.4Visible peristalsisexact
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about R19.2
Is R19.2 billable?
- Yes. R19.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can R19.2 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict R19.2 as a principal diagnosis.
Is R19.2 a CC or MCC?
- No. R19.2 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does R19.2 group to?
- R19.2 is used in the MS-DRG v44.0 logic for MS-DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC) and MS-DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for R19.2?
- The CMS General Equivalence Mappings map R19.2 to ICD-9-CM 787.4.