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R10.10

R10.10: Upper abdominal pain, unspecified

Billable / specific codeICD-10-CM

R10.10 is a billable, specific ICD-10-CM code for upper abdominal pain, unspecified. It is valid for submission on a claim.

Check R10.10 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R10.10

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 R10.10

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

Written on R10.1: Pain localized to upper abdomen

  • pain localized to flank (R10.A-)
  • pelvic and perineal pain (R10.2-)

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 R10.10

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

  • R52Pain, unspecified

Risk adjustment

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

Medicare coverage

R10.10 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
  • A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

  • Pain›abdominal›upper

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R10.1

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.