R10.9
R10.9: Unspecified abdominal pain
Billable / specific codeICD-10-CM
R10.9 is a billable, specific ICD-10-CM code for unspecified abdominal pain. It is valid for submission on a claim.
Check R10.9 with the rest of the claim: free scrubberExcludes1 inherited from the categories above R10.9
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R10.9
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with R10.9
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
R10.9 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Alphabetic index entries that lead here
- Pain›abdominal
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.