R10.12
R10.12: Left upper quadrant pain
Billable / specific codeICD-10-CMleft
R10.12 is a billable, specific ICD-10-CM code for left upper quadrant pain. It is valid for submission on a claim.
Check R10.12 with the rest of the claim: free scrubberExcludes1 inherited from the categories above R10.12
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R10.12
Not part of this code, but both may be coded when both are present.
Written on R10.1: Pain localized to upper abdomen
Other codes that can never be billed with R10.12
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
R10.12 is named in 24 Medicare coverage policies: 24 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Pain›abdominal›upper›left quadrant
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.