Is R10.13 a billable ICD-10-CM code?

Yes. R10.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R10.13 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).

What cannot be coded together with R10.13?

R10.13 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R10.13

R10.13 — Epigastric pain

Billable / specific codeICD-10-CM

R10.13 is a billable, specific ICD-10-CM code for epigastric pain. It is valid for submission on a claim.

Excludes1 — never code together

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

functional dyspepsia (K30)

Inclusion terms

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

Dyspepsia

Other codes that can never be billed with R10.13

These codes carry an Excludes1 note pointing at R10.13. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R10.13 alone.

K30Functional dyspepsia

Risk adjustment

R10.13 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

R10.13 is named in 30 Medicare coverage policies — 30 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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

How R10.13 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R10.13.

Dyspepsia
Distress›epigastric
Pain›epigastric, epigastrium
Pain›abdominal›upper›epigastric

Related codes at this level

Codes that share R10.1. If R10.13 is not quite right, the correct code is usually one of these.

Questions about R10.13

Is R10.13 a billable ICD-10-CM code?: Yes. R10.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R10.13 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).
What cannot be coded together with R10.13?: R10.13 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.