R10.21
R10.21: Pelvic and perineal pain right side
Billable / specific codeICD-10-CMright
R10.21 is a billable, specific ICD-10-CM code for pelvic and perineal pain right side. It is valid for submission on a claim.
Check R10.21 with the rest of the claim: free scrubberExcludes1 inherited from the categories above R10.21
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R10.21
Not part of this code, but both may be coded when both are present.
Written on R10.2: Pelvic and perineal pain
Other codes that can never be billed with R10.21
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
R10.21 is named in 29 Medicare coverage policies: 24 listing it as supporting medical necessity, and 5 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57701Billing and Coding: Trigger Point Injections (TPI)not covered
- A59480Billing and Coding: Trigger Point Injections (TPI)not covered
- A59487Billing and Coding: Trigger Point Injections (TPI)not covered
- A59498Billing and Coding: Trigger Point Injections (TPI)not covered
Alphabetic index entries that lead here
- Neuralgia, neuralgic›perineum›right
- Neuralgia, neuralgic›pubic region›right
- Pain›pelvic›right
- Pain›perineal, perineum›right
- Pain›abdominal›lower›pelvic or perineal›right
The condition this code belongs to
Code history
- addedFY2024-FY2027
Pelvic and perineal pain right side