 What is now US 19 was part of the original 1918 state highway system.It was part of State Route 10 from Bristol to Abingdon, a spur of SR 10 (designated State Route 106 in the 1923 renumbering and State Route 110 in the 1928 renumbering) from Abingdon to Hansonville, another spur of SR 10 from Hansonville to Lebanon, and State Route 11 from Lebanon to Bluefield.The spur from Hansonville to Lebanon was initially designated State Route 10Y.