ICD-10-CM Code R10.10

Upper abdominal pain, unspecified

Version 2020 Billable Code No Valid Principal Dx Family Practice Internal Medicine Pediatrics

Valid for Submission

R10.10 is a billable code used to specify a medical diagnosis of upper abdominal pain, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R10.10 might also be used to specify conditions or terms like abdominal pain through to back, digestive gland sign or symptom, hypochondrial pain, o/e - painful splenomegaly, on examination - lumbar pain abdominal, pain of lymphoreticular structure, etc

The code is commonly used in family practice, internal medicine, pediatrics medical specialties to specify clinical concepts such as abdominal pain.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R10.10
Short Description:Upper abdominal pain, unspecified
Long Description:Upper abdominal pain, unspecified

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R10.10 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abdominal pain through to back
  • Digestive gland sign or symptom
  • Hypochondrial pain
  • O/E - painful splenomegaly
  • On examination - lumbar pain abdominal
  • Pain of lymphoreticular structure
  • Pain radiating to upper abdomen
  • Pancreatic pain
  • Pancreatic symptom
  • Subcostal pain
  • Ulcer-type pain
  • Upper abdominal pain

Diagnostic Related Groups

The ICD-10 code R10.10 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
  • 392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC

Convert R10.10 to ICD-9

  • 789.09 - Abdmnal pain oth spcf st (Approximate Flag)

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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