DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

R10 Abdominal and pelvic pain

  • Header · not billable

R10 is not billable. The category heads 42 billable codes in FY2027, grouped under 7 subdivisions.

ICD-10 code by name

What is the ICD-10 code for abdominal pain?
Abdominal pain ICD-10 code: R10.9 Unspecified abdominal pain. Alphabetic Index: Pain(s)abdominal → R10.9. Search ICD-10 for abdominal pain
What is the ICD-10 code for pelvic pain?
Pelvic pain ICD-10 code: R10.20 Pelvic and perineal pain unspecified side. Alphabetic Index: Pain(s)pelvic (female) → R10.20. Search ICD-10 for pelvic pain
What is the ICD-10 code for lower abdominal pain, unspecified?
Lower abdominal pain ICD-10 code: R10.30 Lower abdominal pain, unspecified. Search ICD-10 for lower abdominal pain
What is the ICD-10 code for generalized abdominal pain?
Generalized abdominal pain ICD-10 code: R10.84 Generalized abdominal pain. Search ICD-10 for generalized abdominal pain
What is the ICD-10 code for upper abdominal pain, unspecified?
Upper abdominal pain ICD-10 code: R10.10 Upper abdominal pain, unspecified. Search ICD-10 for upper abdominal pain
What is the ICD-10 code for right upper quadrant abdominal pain?
Right upper quadrant abdominal pain ICD-10 code: R10.11 Right upper quadrant pain. Alphabetic Index: Pain(s)abdominalupperright quadrant → R10.11. Search ICD-10 for right upper quadrant abdominal pain
What is the ICD-10 code for right lower quadrant abdominal pain?
Right lower quadrant abdominal pain ICD-10 code: R10.31 Right lower quadrant pain. Alphabetic Index: Pain(s)abdominallowerright quadrant → R10.31. Search ICD-10 for right lower quadrant abdominal pain
What is the ICD-10 code for left lower quadrant abdominal pain?
Left lower quadrant abdominal pain ICD-10 code: R10.32 Left lower quadrant pain. Alphabetic Index: Pain(s)abdominallowerleft quadrant → R10.32. Search ICD-10 for left lower quadrant abdominal pain

Where it sits

  1. Chapter 18 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
  2. R10-R19 Symptoms and signs involving the digestive system and abdomen (R10-R19)
  3. R10 Abdominal and pelvic pain
Billable codes
42
Subdivisions
7
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
79

Codes in R10

  1. R10.0
    Acute abdomen
    Billable
    Inclusion terms 1, Excludes1 3

    Inclusion terms

    • Severe abdominal pain (generalized) (with abdominal rigidity)

    Excludes1

    • abdominal rigidity NOS (R19.3) R19.3
    • generalized abdominal pain NOS (R10.84) R10.84
    • localized abdominal pain (R10.1-R10.3-) R10.1 R10.3
  2. R10.1
    Pain localized to upper abdomen
    Header
    Excludes2 2

    Excludes2

    • pain localized to flank (R10.A-) R10.A
    • pelvic and perineal pain (R10.2-) R10.2
  3. R10.10
    Upper abdominal pain, unspecified
    Billable
  4. R10.11
    Right upper quadrant pain
    Billable
  5. R10.12
    Left upper quadrant pain
    Billable
  6. R10.13
    Epigastric pain
    Billable
    Inclusion terms 1, Excludes1 1

    Inclusion terms

    • Dyspepsia

    Excludes1

    • functional dyspepsia (K30) K30
  7. R10.2
    Pelvic and perineal pain
    Header
    Excludes1 1, Excludes2 2

    Excludes1

    Excludes2

    • pain localized to other parts of lower abdomen (R10.3-) R10.3
    • pain localized to upper abdomen (R10.1-) R10.1
  8. R10.20
    Pelvic and perineal pain unspecified side
    Billable
  9. R10.21
    Pelvic and perineal pain right side
    Billable
  10. R10.22
    Pelvic and perineal pain left side
    Billable
  11. R10.23
    Pelvic and perineal pain bilateral
    Billable
  12. R10.24
    Suprapubic pain
    Billable
  13. R10.3
    Pain localized to other parts of lower abdomen
    Header
    Excludes2 2

    Excludes2

    • pain localized to flank (R10.A-) R10.A
    • pelvic and perineal pain (R10.2-) R10.2
  14. R10.30
    Lower abdominal pain, unspecified
    Billable
  15. R10.31
    Right lower quadrant pain
    Billable
  16. R10.32
    Left lower quadrant pain
    Billable
  17. R10.33
    Periumbilical pain
    Billable
  18. R10.8
    Other abdominal pain
    Header
  19. R10.81
    Abdominal tenderness
    Header
    Inclusion terms 1, Excludes2 2

    Inclusion terms

    • Abdominal tenderness NOS

    Excludes2

    • pain localized to other parts of lower abdomen (R10.3-) R10.3
    • pain localized to upper abdomen (R10.1-) R10.1
  20. R10.811
    Right upper quadrant abdominal tenderness
    Billable
  21. R10.812
    Left upper quadrant abdominal tenderness
    Billable
  22. R10.813
    Right lower quadrant abdominal tenderness
    Billable
  23. R10.814
    Left lower quadrant abdominal tenderness
    Billable
  24. R10.815
    Periumbilic abdominal tenderness
    Billable
  25. R10.816
    Epigastric abdominal tenderness
    Billable
  26. R10.817
    Generalized abdominal tenderness
    Billable
  27. R10.819
    Abdominal tenderness, unspecified site
    Billable
  28. R10.82
    Rebound abdominal tenderness
    Header
    Excludes2 2

    Excludes2

    • pain localized to other parts of lower abdomen (R10.3-) R10.3
    • pain localized to upper abdomen (R10.1-) R10.1
  29. R10.821
    Right upper quadrant rebound abdominal tenderness
    Billable
  30. R10.822
    Left upper quadrant rebound abdominal tenderness
    Billable
  31. R10.823
    Right lower quadrant rebound abdominal tenderness
    Billable
  32. R10.824
    Left lower quadrant rebound abdominal tenderness
    Billable
  33. R10.825
    Periumbilic rebound abdominal tenderness
    Billable
  34. R10.826
    Epigastric rebound abdominal tenderness
    Billable
  35. R10.827
    Generalized rebound abdominal tenderness
    Billable
  36. R10.829
    Rebound abdominal tenderness, unspecified site
    Billable
  37. R10.83
    Colic
    Billable
    Inclusion terms 2, Excludes1 1

    Inclusion terms

    • Colic NOS
    • Infantile colic

    Excludes1

    • colic in adult and child over 12 months old (R10.84) R10.84
  38. R10.84
    Generalized abdominal pain 1 billable code
    Billable
  39. R10.85
    Abdominal pain of multiple sites
    Billable
    Excludes1 4

    Excludes1

    • abdominal rigidity NOS (R19.3) R19.3
    • generalized abdominal pain associated with acute abdomen (R10.0) R10.0
    • generalized abdominal pain NOS (R10.84) R10.84
    • localized abdominal pain (R10.1-R10.3-) R10.1 R10.3
  40. R10.8A
    Flank tenderness
    Header
  41. R10.8A1
    Right flank tenderness
    Billable
  42. R10.8A2
    Left flank tenderness
    Billable
  43. R10.8A3
    Suprapubic tenderness
    Billable
  44. R10.8A9
    Flank tenderness, unspecified
    Billable
    Inclusion terms 1

    Inclusion terms

    • Flank tenderness NOS
  45. R10.9
    Unspecified abdominal pain
    Billable
  46. R10.A
    Pain localized to flank
    Header
    Inclusion terms 3, Excludes2 2

    Inclusion terms

    • Lateral abdomen pain
    • Lateral flank pain
    • Latus region pain

    Excludes2

    • pain localized to other parts of lower abdomen (R10.3-) R10.3
    • pain localized to upper abdomen (R10.1-) R10.1
  47. R10.A0
    Flank pain, unspecified side
    Billable
  48. R10.A1
    Flank pain, right side
    Billable
  49. R10.A2
    Flank pain, left side
    Billable
  50. R10.A3
    Flank pain, bilateral
    Billable

Sources of each column.

Instructions

At R10

Excludes1

  • renal colic (N23) N23

Excludes2

  • costovertebral (angle) tenderness (R39.85) R39.85
  • dorsalgia (M54.-) M54
  • flatulence and related conditions (R14.-) R14

Notes that also apply

Block R10-R19 instructions (Excludes2 9): printed on the block page.

Chapter 18 instructions (Notes 9, Excludes2 4): printed on the chapter 18 page.

Index entries

  • Dyspepsia → R10.13
  • Tenderness, abdominal → R10.819
  • Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic) → R10.83
  • Abdomen, abdominalacute → R10.0
  • Acuteabdomen → R10.0
  • Crisisabdomen → R10.0
  • Syndromeacute abdominal → R10.0
  • Distressepigastric → R10.13
  • Pain(s)epigastric, epigastrium → R10.13
  • Neuralgia, neuralgic (acute)perineum → R10.20
  • Neuralgia, neuralgic (acute)pubic region → R10.20
  • Neuralgia, neuralgic (acute)scrotum → R10.20
  • Neuralgia, neuralgic (acute)spermatic cord → R10.20
  • Pain(s)adnexa (uteri) → R10.20
  • Pain(s)broad ligament → R10.20
  • Pain(s)pelvic (female) → R10.20
  • Pain(s)perineal, perineum → R10.20
  • Pain(s)round ligament (stretch) → R10.20
  • Pain(s)vagina → R10.20
  • Pain(s)vulva → R10.20
  • Symptoms NECgenital organs, female → R10.20
  • Symptoms NECpelvis NEC, female → R10.20
  • Pain(s)suprapubic → R10.24
  • Tenderness, abdominalright upper quadrant → R10.811
  • Tenderness, abdominalleft upper quadrant → R10.812
  • Tenderness, abdominalright lower quadrant → R10.813
  • Tenderness, abdominalleft lower quadrant → R10.814
  • Tenderness, abdominalperiumbilic → R10.815
  • Tenderness, abdominalepigastric → R10.816
  • Tenderness, abdominalgeneralized → R10.817
  • Tenderness, abdominalrebound → R10.829
  • Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic)abdomen → R10.83
  • Cramp(s)colic → R10.83
  • Tenderness, abdominalsuprapubic → R10.8A3
  • Tenderness, abdominalflank → R10.8A9
  • Pain(s)abdominal → R10.9
  • Pain(s)flank → R10.A0
  • Pain(s)abdominalsevere with abdominal rigidity → R10.0
  • Rigid, rigidityabdominalwith severe abdominal pain → R10.0
  • Syndromeabdominalacute → R10.0

39 more, longer entries are not listed; the search box finds them by word.

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy