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R10.31

R10.31: Right lower quadrant pain

Billable / specific codeICD-10-CMright

R10.31 is a billable, specific ICD-10-CM code for right lower quadrant pain. It is valid for submission on a claim.

Check R10.31 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R10.31

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 R10.31

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

Written on R10.3: Pain localized to other parts of lower 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 R10.31

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

R10.31 is named in 23 Medicare coverage policies: 23 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A55336Billing and Coding: Retroperitoneal Ultrasound
  • A55937Billing and Coding: Diagnostic Colonoscopy
  • A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
  • A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

  • Pain›abdominal›lower›right quadrant

The condition this code belongs to

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under R10.3

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.