MCMedicalCodingSoftware
R10.0

R10.0: Acute abdomen

Billable / specific codeICD-10-CM

R10.0 is a billable, specific ICD-10-CM code for acute abdomen. It is valid for submission on a claim.

Check R10.0 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • abdominal rigidity NOS (R19.3)
  • generalized abdominal pain NOS (R10.84)
  • localized abdominal pain (R10.1-R10.3-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

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

Excludes1 inherited from the categories above R10.0

A category’s note binds every code beneath it.

Written on R10: Abdominal and pelvic pain

  • renal colic (N23)

Excludes2 inherited from the categories above R10.0

Not part of this code, but both may be coded when both are present.

Written on R10: Abdominal and pelvic pain

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

Other codes that can never be billed with R10.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • R10.84Generalized abdominal pain
  • R10.85Abdominal pain of multiple sites
  • R19Other symptoms and signs involving the digestive system and abdomen
  • R19.3Abdominal rigidity
  • R52Pain, unspecified

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R10.0 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
  • A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
  • A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy

Alphabetic index entries that lead here

  • Abdomen, abdominal›acute
  • Acute›abdomen
  • Crisis›abdomen
  • Syndrome›acute abdominal
  • Pain›abdominal›severe with abdominal rigidity
  • Rigid, rigidity›abdominal›with severe abdominal pain
  • Syndrome›abdominal›acute
  • Pain›abdominal›generalized›with acute abdomen

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R10

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.