Abdominal and pelvic pain (R10) ICD-10-CM
The R10 code range covers abdominal and pelvic pain with 51 ICD-10-CM diagnosis codes. 42 of them are billable and valid for claim submission in fiscal year 2027, and the category headers group them but cannot themselves be billed.
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.
- renal colic N23
Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Codes in the R10 Range 51 codes · 42 billable
- R10 Abdominal and pelvic painNon-billable
- R10.0 Acute abdomen
- R10.1 Pain localized to upper abdomenNon-billable
- R10.10 Upper abdominal pain, unspecified
- R10.11 Right upper quadrant pain
- R10.12 Left upper quadrant pain
- R10.13 Epigastric pain
- R10.2 Pelvic and perineal painNon-billable
- R10.20 Pelvic and perineal pain unspecified side
- R10.21 Pelvic and perineal pain right side
- R10.22 Pelvic and perineal pain left side
- R10.23 Pelvic and perineal pain bilateral
- R10.24 Suprapubic pain
- R10.3 Pain localized to other parts of lower abdomenNon-billable
- R10.30 Lower abdominal pain, unspecified
- R10.31 Right lower quadrant pain
- R10.32 Left lower quadrant pain
- R10.33 Periumbilical pain
- R10.8 Other abdominal painNon-billable
- R10.81 Abdominal tendernessNon-billable
- R10.811 Right upper quadrant abdominal tenderness
- R10.812 Left upper quadrant abdominal tenderness
- R10.813 Right lower quadrant abdominal tenderness
- R10.814 Left lower quadrant abdominal tenderness
- R10.815 Periumbilic abdominal tenderness
- R10.816 Epigastric abdominal tenderness
- R10.817 Generalized abdominal tenderness
- R10.819 Abdominal tenderness, unspecified site
- R10.82 Rebound abdominal tendernessNon-billable
- R10.821 Right upper quadrant rebound abdominal tenderness
- R10.822 Left upper quadrant rebound abdominal tenderness
- R10.823 Right lower quadrant rebound abdominal tenderness
- R10.824 Left lower quadrant rebound abdominal tenderness
- R10.825 Periumbilic rebound abdominal tenderness
- R10.826 Epigastric rebound abdominal tenderness
- R10.827 Generalized rebound abdominal tenderness
- R10.829 Rebound abdominal tenderness, unspecified site
- R10.83 Colic
- R10.84 Generalized abdominal pain
- R10.85 Abdominal pain of multiple sites
- R10.8A Flank tendernessNon-billable
- R10.8A1 Right flank tenderness
- R10.8A2 Left flank tenderness
- R10.8A3 Suprapubic tenderness
- R10.8A9 Flank tenderness, unspecified
- R10.9 Unspecified abdominal pain
- R10.A Pain localized to flankNon-billable
- R10.A0 Flank pain, unspecified side
- R10.A1 Flank pain, right side
- R10.A2 Flank pain, left side
- R10.A3 Flank pain, bilateral
Clinical Terms in This Code Range
Definitions from the National Library of Medicine for conditions coded in the R10 range.
Abdomen, Acute
A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.
Colic
A clinical syndrome with intermittent abdominal pain characterized by sudden onset and cessation that is commonly seen in infants. It is usually associated with obstruction of the INTESTINES; of the CYSTIC DUCT; or of the URINARY TRACT.
Dyspepsia
Impaired digestion, especially after eating.
Flank Pain
Pain emanating from below the RIBS and above the ILIUM.
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.
About the R10 Code Range
Abdominal and pelvic pain appears here among symptoms and signs involving the digestive system and abdomen. R10 separates acute abdomen, pain by location, and other abdominal pain.
Upper and lower abdominal pain branch into more specific locations. Pelvic and perineal pain distinguishes the right side, left side, both sides, unspecified side, and suprapubic pain. Other abdominal pain includes tenderness, rebound tenderness, colic, generalized pain, and pain at multiple sites. Tenderness and rebound tenderness have further subdivisions by location, while flank pain is separated by side.
FY 2027 changes: The FY 2027 ICD-10-CM update, effective October 1, 2026, deleted R10.2.
Questions About This Page
How many billable codes are in the R10 range?
Of the 51 codes in this range, 42 are billable and valid for claim submission from October 1, 2026 through September 30, 2027. Category header codes group them but cannot be reported on claims.
What does the R10 range classify?
The range classifies abdominal and pelvic pain. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2027 ICD-10-CM Tabular List and order file, effective October 1, 2026 through September 30, 2027.
