R10.1
R10.1: Pain localized to upper abdomen
Non-billable headerICD-10-CM
R10.1 is a non-billable header ICD-10-CM code for pain localized to upper abdomen. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Excludes1 inherited from the categories above R10.1
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R10.1
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with R10.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead R10.1
4 child codes. Green means billable.