Abdominal pain ICD-10 code
The ICD-10-CM code for abdominal pain is R10.9 — unspecified abdominal pain. It is billable and valid for submission on a claim. There are 16 related codes, and which one you use depends on what the documentation supports.
The mistake coders make here
R10.9 (unspecified) is the default reach, but ICD-10-CM has a code for every quadrant. If the chart localises the pain at all, a quadrant code is more specific and less likely to be questioned.
All ICD-10-CM codes for abdominal pain
13 of 16 are billable. Green means you can submit it as-is.
| Code | Use it when |
|---|---|
| R10.9 | Unspecified abdominal pain |
| R10.84 | Generalized abdominal pain |
| R10.11 | Right upper quadrant pain |
| R10.12 | Left upper quadrant pain |
| R10.13 | Epigastric pain |
| R10.31 | Right lower quadrant pain |
| R10.32 | Left lower quadrant pain |
| R10.33 | Periumbilical pain |
| R10 | Abdominal and pelvic painnot billable on its own |
| R10.8 | Other abdominal painnot billable on its own |
| R10.85 | Abdominal pain of multiple sites |
| R10.10 | Upper abdominal pain, unspecified |
| R10.30 | Lower abdominal pain, unspecified |
| R10.82 | Rebound abdominal tendernessnot billable on its own |
| R10.816 | Epigastric abdominal tenderness |
| R10.815 | Periumbilic abdominal tenderness |