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  2. ICD-10-CM Codes List
  3. R00–R99
  4. R10-R19
  5. Abdominal and pelvic pain (R10)

Abdominal and pelvic pain (R10)

The ICD-10 code section R10 is specifically used to categorize various types of abdominal and pelvic pain. These codes help precisely identify pain locations, severities, and characteristics, from general abdominal pain to more specific types such as acute abdomen or localized quadrant pain.

Within this section, the ICD-10 code for acute abdomen (R10.0) covers sudden, severe abdominal pain often requiring urgent evaluation. Codes like R10.11 and R10.12 classify pain in the right and left upper quadrants respectively, useful for symptoms such as liver pain or left hypochondrial pain. The code R10.2 denotes pelvic and perineal pain, including chronic female pelvic pain syndrome or prostatitis. Various tenderness and rebound tenderness sites, like R10.811 (right upper quadrant tenderness) and R10.821 (right upper quadrant rebound tenderness), are also captured, assisting in detailed clinical assessment. Terms like "right hypochondrial pain," "inguinal pain," and "epigastric discomfort" correspond to these codes, aiding coders and clinicians in mapping symptoms accurately to the ICD-10 code for abdominal and pelvic pain.

Instructional Notations

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.

  • dorsalgia M54
  • flatulence and related conditions R14

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Abdominal Pain

Sensation of discomfort, distress, or agony in the abdominal region.

Bacteriocin Plasmids

Plasmids encoding bacterial exotoxins (BACTERIOCINS).

Bacteriocins

Substances elaborated by specific strains of bacteria that are lethal against other strains of the same or related species. They are protein or lipopolysaccharide-protein complexes used in taxonomy studies of bacteria.

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.

Colicins

Bacteriocins elaborated by strains of Escherichia coli and related species. They are proteins or protein-lipopolysaccharide complexes lethal to other strains of the same species.

Colon, Ascending

The segment of LARGE INTESTINE between the CECUM and the TRANSVERSE COLON. It passes cephalad from the cecum to the caudal surface of the right lobe of the LIVER where it bends sharply to the left, forming the right colic flexure.

Colon, Transverse

The segment of LARGE INTESTINE between ASCENDING COLON and DESCENDING COLON. It passes from the RIGHT COLIC FLEXURE across the ABDOMEN, then turns sharply at the left colonic flexure into the descending colon.

Flank Pain

Pain emanating from below the RIBS and above the ILIUM.

Labor Pain

Pain associated with OBSTETRIC LABOR in CHILDBIRTH. It is caused primarily by UTERINE CONTRACTION as well as pressure on the CERVIX; BLADDER; and the GASTROINTESTINAL TRACT. Labor pain mostly occurs in the ABDOMEN; the GROIN; and the BACK.

Pelvic Girdle Pain

Discomfort associated with the bones that make up the pelvic girdle. It occurs frequently during pregnancy.

Renal Colic

A severe intermittent and spasmodic pain in the lower back radiating to the groin, scrotum, and labia which is most commonly caused by a kidney stone (RENAL CALCULUS) passing through the URETER or by other urinary track blockage. It is often associated with nausea, vomiting, fever, restlessness, dull pain, frequent urination, and HEMATURIA.

Visceral Pain

Pain originating from internal organs (VISCERA) associated with autonomic phenomena (PALLOR; SWEATING; NAUSEA; and VOMITING). It often becomes a REFERRED PAIN.