R10.85
R10.85: Abdominal pain of multiple sites
Billable / specific codeICD-10-CM
R10.85 is a billable, specific ICD-10-CM code for abdominal pain of multiple sites. It is valid for submission on a claim.
Check R10.85 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes1 inherited from the categories above R10.85
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R10.85
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with R10.85
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
R10.85 is named in 18 Medicare coverage policies: 18 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55028Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Alphabetic index entries that lead here
- Pain›abdominal›multiple sites
The condition this code belongs to
Code history
- addedFY2024-FY2027
Abdominal pain of multiple sites