R10.815
R10.815: Periumbilic abdominal tenderness
Billable / specific codeICD-10-CM
R10.815 is a billable, specific ICD-10-CM code for periumbilic abdominal tenderness. It is valid for submission on a claim.
Check R10.815 with the rest of the claim: free scrubberExcludes1 inherited from the categories above R10.815
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R10.815
Not part of this code, but both may be coded when both are present.
Written on R10.81: Abdominal tenderness
Other codes that can never be billed with R10.815
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
R10.815 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A58428Billing and Coding: Diagnostic Colonoscopy
Alphabetic index entries that lead here
- Tenderness, abdominal›periumbilic
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under R10.81
- R10.811Right upper quadrant abdominal tenderness
- R10.812Left upper quadrant abdominal tenderness
- R10.813Right lower quadrant abdominal tenderness
- R10.814Left lower quadrant abdominal tenderness
- R10.816Epigastric abdominal tenderness
- R10.817Generalized abdominal tenderness
- R10.819Abdominal tenderness, unspecified site