2026 ICD-10-CM Diagnosis Code R10.23Pelvic and perineal pain bilateral

ICD-10-CM Codes›R00–R99›R10-R19›R10

ICD-10-CM R10.23
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

R10.23 is a billable ICD-10-CM diagnosis code for pelvic and perineal pain bilateral. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 391 through 392. 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
R10.23
Billable Status
Yes — Valid for Submission
Code Describes
Pelvic and perineal pain bilateral
Short Description
Pelvic and perineal pain bilateral
Same as the full description in the CMS dataset.
Parent Code
R10.2
Pelvic and perineal pain

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 CodeR10.23Pelvic and perineal pain bilateral

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Neuralgia, neuralgic(acute)
      • perineum
        • bilateral
    • Neuralgia, neuralgic(acute)
      • pubic region
        • bilateral
    • Pain(s)
      • abdominal
        • lower
          • pelvic or perineal
            • bilateral
    • Pain(s)
      • pelvic (female)
        • bilateral
    • Pain(s)
      • perineal, perineum
        • bilateral

Clinical InformationClinical

  • Chronic Prostatitis

    an infectious or non-infectious chronic inflammatory process that affects the prostate gland.

  • Labor Pain

    the discomfort that is experienced by the pregnant mother during the childbirth process as she attempts to give birth.

  • Lower Abdominal Pain

    a sensation of discomfort emanating from the inferior quadrants of the abdomen, which may be peritoneal or visceral in origin, or referred from an extra-abdominal location.

Code History & ChangesHistory

New Code R10.23 was added to the ICD-10-CM code set for FY 2026, effective October 1, 2025.

Replacement R10.23 replaces the following previously assigned code(s):

  • R10.2 - Pelvic and perineal pain
FY 2026AddedAdded to the ICD-10-CM code setEffective October 1, 2025.
FY 2026CurrentRevised in the current code setEffective October 1, 2025 through September 30, 2026.

Questions About R10.23Overview

Is R10.23 (Pelvic and perineal pain) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report pelvic and perineal pain bilateral on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does R10.23 group to?

When pelvic and perineal pain bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 391, 392, with relative weights from 0.7796 to 1.2683 depending on complications. Higher weights mean higher Medicare reimbursement.

Can R10.23 be a principal diagnosis?

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