ICD-10-CM Code R10.1

Pain localized to upper abdomen

Version 2020 Non-Billable Code No Valid Principal Dx

Not Valid for Submission

R10.1 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of pain localized to upper abdomen. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:R10.1
Short Description:Pain localized to upper abdomen
Long Description:Pain localized to upper abdomen

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

  • R10.10 - Upper abdominal pain, unspecified
  • R10.11 - Right upper quadrant pain
  • R10.12 - Left upper quadrant pain
  • R10.13 - Epigastric pain

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

[Learn More]