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R19.12

Billable

Hyperactive bowel sounds

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

Is R19.12 an HCC code?

No. R19.12 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

R19.12 is the ICD-10-CM diagnosis code for hyperactive bowel sounds. Bowel sounds that are unusually loud, frequent, or rapid, suggesting increased intestinal activity. R19.12 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving the digestive system and abdomen (r10-r19).

R19.12 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Hyperactive bowel sounds may indicate diarrhea, gastroenteritis, or early obstruction.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R19.12 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Hyperactive bowel sounds may indicate diarrhea, gastroenteritis, or early obstruction
  • Document frequency and character of sounds when documented by provider

Code Hierarchy

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