2027 ICD-10-CM Diagnosis Code R10Abdominal and pelvic pain

ICD-10-CM Codes›R00–R99›R10-R19›R10

ICD-10-CM R10
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

R10 is a non-billable ICD-10-CM category code for abdominal and pelvic pain, so it cannot be submitted on claims. Use a more specific code from this category instead, such as R10.0, R10.10, R10.11, and R10.12. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established.

Code Identity

ICD-10-CM Code
R10
Billable Status
No — Non-Billable Category
Code Describes
Abdominal and pelvic pain
Short Description
Abdominal and pelvic pain
Same as the full description in the CMS dataset.
Chapter
R10-R19
Symptoms and signs involving the digestive system and abdomen

Code Classification

ChapterR00–R99Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
SectionR10-R19Symptoms and signs involving the digestive system and abdomen
CategoryR10Abdominal and pelvic pain
This CodeR10Abdominal and pelvic pain

Specific Coding for Abdominal and pelvic painOverview

Non-specific codes like R10 require more characters. Use one of these billable codes instead:

  • Use R10.0 for Acute abdomen

  • R10.1 for Pain localized to upper abdomen

  • Use R10.10 for Upper abdominal pain, unspecified

  • Use R10.11 for Right upper quadrant pain

  • Use R10.12 for Left upper quadrant pain

  • Use R10.13 for Epigastric pain

  • R10.2 for Pelvic and perineal pain

  • Use R10.20 for Pelvic and perineal pain unspecified side

  • Use R10.21 for Pelvic and perineal pain right side

  • Use R10.22 for Pelvic and perineal pain left side

  • Use R10.23 for Pelvic and perineal pain bilateral

  • Use R10.24 for Suprapubic pain

  • R10.3 for Pain localized to other parts of lower abdomen

  • Use R10.30 for Lower abdominal pain, unspecified

  • Use R10.31 for Right lower quadrant pain

  • Use R10.32 for Left lower quadrant pain

  • Use R10.33 for Periumbilical pain

  • R10.8 for Other abdominal pain

  • R10.81 for Abdominal tenderness

  • R10.82 for Rebound abdominal tenderness

  • Use R10.83 for Colic

  • Use R10.84 for Generalized abdominal pain

  • Use R10.85 for Abdominal pain of multiple sites

  • R10.8A for Flank tenderness

  • Use R10.9 for Unspecified abdominal pain

  • R10.A for Pain localized to flank

  • Use R10.A0 for Flank pain, unspecified side

  • Use R10.A1 for Flank pain, right side

  • Use R10.A2 for Flank pain, left side

  • Use R10.A3 for Flank pain, bilateral

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to R10: its own notes plus those printed at block R10-R19 and Chapter 18. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

  • renal colic (N23)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On R10 itself
  • costovertebral (angle) tenderness (R39.85)
  • dorsalgia (M54.-)
  • flatulence and related conditions (R14.-)
From Block R10-R19 Symptoms and signs involving the digestive system and abdomen applies to 99 codes
  • 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)
From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • 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)

Notes

General instructions on how these codes are used.

From Chapter 18 (R00-R99) Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified applies to 774 codes
  • 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.

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name R10, its category, or a range that includes it.

Excludes1 1

These codes carry an Excludes1 note naming R10: they are not reported together with it, unless the two conditions are unrelated.

  • R52 Pain, unspecified
    abdomen pain (R10.-)

Excludes2 2

These codes carry an Excludes2 note naming R10: its condition is not part of those codes, and both may be reported when the patient has both.

  • G89 Pain, not elsewhere classified
    abdomen pain (R10.-)
  • R39.85 Costovertebral (angle) tenderness
    abdominal and pelvic pain (R10.-)

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About R10Overview

What is the ICD-10 code for abdominal and pelvic pain?

R10 is the ICD-10-CM category for abdominal and pelvic pain, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is R10 (Abdominal and pelvic pain) a billable code?

No. This is a category header that groups the codes for abdominal and pelvic pain, and headers cannot be submitted on claims. Claims for abdominal and pelvic pain need a more specific code from this category, such as R10.0, R10.10, and R10.11.

Can R10 be a principal diagnosis?

Use it with care. This is a symptom code, so once a definitive diagnosis explaining the abdominal and pelvic pain is established, that condition takes the principal position instead.

Can R10 be reported with N23?

Not as a rule. The Excludes1 note on R10 lists "renal colic (N23)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).