MCMedicalCodingSoftware
R10.8A9

R10.8A9Flank tenderness, unspecified

Billable / specific codeICD-10-CM

R10.8A9 is a billable, specific ICD-10-CM code for flank tenderness, unspecified. It is valid for submission on a claim.

Inclusion terms

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

  • Flank tenderness NOS

Excludes1 inherited from the categories above R10.8A9

These are not written on R10.8A9, but they bind it: a note on a category applies to every code beneath it. Billing R10.8A9 with anything listed here is a denial.

Written on R10 Abdominal and pelvic pain

  • renal colic (N23)

Excludes2 inherited from the categories above R10.8A9

Also inherited, and the opposite of Excludes1: these conditions are not part of R10.8A9, but a patient can have both, so you may code both.

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 R10.8A9

These codes carry an Excludes1 note pointing at R10.8A9. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R10.8A9 alone.

  • R52Pain, unspecified

Risk adjustment

R10.8A9 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

R10.8A9 is named in 3 Medicare coverage policies 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A55028Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
  • A56421Billing and Coding: CT of the Abdomen and Pelvis
  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

How R10.8A9 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 R10.8A9.

  • Tenderness, abdominalflank

The condition this code belongs to

Every code for the condition on one page, which one applies when, and the mistake coders make with it.

Code history

What changed, and when. Derived by diffing consecutive CMS release files — which matters when you are defending a code assigned under an earlier edition.

  • addedFY2024-FY2026

    Flank tenderness, unspecified

Related codes at this level

Codes that share R10.8A. If R10.8A9 is not quite right, the correct code is usually one of these.

Questions about R10.8A9

Is R10.8A9 a billable ICD-10-CM code?
Yes. R10.8A9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R10.8A9 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 R10.8A9?
R10.8A9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R10.8A9 (R10) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 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.