ICD-10-CM Code R10

Abdominal and pelvic pain

Version 2020 Non-Billable Code No Valid Principal Dx

Not Valid for Submission

R10 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of abdominal and pelvic pain. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

Short Description:Abdominal and pelvic pain
Long Description:Abdominal and pelvic pain

Consider the following ICD-10 codes with a higher level of specificity:

  • R10.0 - Acute abdomen
  • R10.1 - Pain localized to upper abdomen
  • R10.10 - Upper abdominal pain, unspecified
  • R10.11 - Right upper quadrant pain
  • R10.12 - Left upper quadrant pain
  • R10.13 - Epigastric pain
  • R10.2 - Pelvic and perineal pain
  • R10.3 - Pain localized to other parts of lower abdomen
  • R10.30 - Lower abdominal pain, unspecified
  • R10.31 - Right lower quadrant pain
  • R10.32 - Left lower quadrant pain
  • R10.33 - Periumbilical pain
  • R10.8 - Other abdominal pain
  • R10.81 - Abdominal tenderness
  • R10.811 - Right upper quadrant abdominal tenderness
  • R10.812 - Left upper quadrant abdominal tenderness
  • R10.813 - Right lower quadrant abdominal tenderness
  • R10.814 - Left lower quadrant abdominal tenderness
  • R10.815 - Periumbilic abdominal tenderness
  • R10.816 - Epigastric abdominal tenderness
  • R10.817 - Generalized abdominal tenderness
  • R10.819 - Abdominal tenderness, unspecified site
  • R10.82 - Rebound abdominal tenderness
  • R10.821 - Right upper quadrant rebound abdominal tenderness
  • R10.822 - Left upper quadrant rebound abdominal tenderness
  • R10.823 - Right lower quadrant rebound abdominal tenderness
  • R10.824 - Left lower quadrant rebound abdominal tenderness
  • R10.825 - Periumbilic rebound abdominal tenderness
  • R10.826 - Epigastric rebound abdominal tenderness
  • R10.827 - Generalized rebound abdominal tenderness
  • R10.829 - Rebound abdominal tenderness, unspecified site
  • R10.83 - Colic
  • R10.84 - Generalized abdominal pain
  • R10.9 - Unspecified abdominal pain

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R10:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • renal colic N23

Type 2 Excludes

Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • dorsalgia M54
  • flatulence and related conditions R14

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Symptoms and signs involving the digestive system and abdomen (R10-R19)
      • Abdominal and pelvic pain (R10)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients

Abdominal Pain

Your abdomen extends from below your chest to your groin. Some people call it the stomach, but your abdomen contains many other important organs. Pain in the abdomen can come from any one of them. The pain may start somewhere else, such as your chest. Severe pain doesn't always mean a serious problem. Nor does mild pain mean a problem is not serious.

Call your health care provider if mild pain lasts a week or more or if you have pain with other symptoms. Get medical help immediately if

  • You have abdominal pain that is sudden and sharp
  • You also have pain in your chest, neck or shoulder
  • You're vomiting blood or have blood in your stool
  • Your abdomen is stiff, hard and tender to touch
  • You can't move your bowels, especially if you're also vomiting

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Pelvic Pain

Pelvic pain occurs mostly in the lower abdomen area. The pain might be steady, or it might come and go. It can be a sharp and stabbing pain in a specific spot, or a dull pain that is spread out. If the pain is severe, it might get in the way of your daily activities.

If you're a woman, you might feel pain during your period. It could also happen when you have sex. Pelvic pain can be a sign that there is a problem with one of the organs in your pelvic area, such as the uterus, ovaries, fallopian tubes, cervix, or vagina. If you're a man, the cause could be problem with the prostate. In men and women, it could be a symptom of infection, or a problem with the urinary tract, lower intestines, rectum, muscle, or bone. Some women have more than one cause of pelvic pain at the same time.

You might have to have lab, imaging, or other medical tests to find the cause of the pain. The treatment will depend on the cause, how bad the pain is, and how often it occurs.

NIH: National Institute of Child Health and Human Development

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