Valid for Submission
R10.13 is a billable code used to specify a medical diagnosis of epigastric pain. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R10.13 might also be used to specify conditions or terms like abdominal discomfort, burning epigastric pain, burning pain, epigastric discomfort, epigastric pain, hunger pain, 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.
|Short Description:||Epigastric pain|
|Long Description:||Epigastric 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 R10.13:
Inclusion Terms Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
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.
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 R10.13 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abdominal discomfort
- Burning epigastric pain
- Burning pain
- Epigastric discomfort
- Epigastric pain
- Hunger pain
- O/E - epigastric pain
- On examination - abdominal pain - epigastrium
- On examination - abdominal pain on palpation
- On examination - epigastric pain on palpation
- Site of abdominal pain
Diagnostic Related Groups
The ICD-10 code R10.13 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 10/01/2019 through 09/30/2020.
- 391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
- 392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
Convert R10.13 to ICD-9
- 789.06 - Abdmnal pain epigastric
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)
- 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