ICD-10-CM category R10: Abdominal and pelvic pain
Category R10 is a heading in chapter 18 (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)), section Symptoms and signs involving the digestive system and abdomen (R10-R19). It is not billable; report one of the 42 complete codes below.
Notes that apply to every R10 code
- Excludes1 (never coded together)
- renal colic (N23)
- Excludes2 (not part of this condition, may be coded together)
- costovertebral (angle) tenderness (R39.85)
- dorsalgia (M54.-)
- flatulence and related conditions (R14.-)
Billable codes in R10
| Code | Description |
|---|---|
| R10.0 | Acute abdomen |
| R10.10 | Upper abdominal pain, unspecified |
| R10.11 | Right upper quadrant pain |
| R10.12 | Left upper quadrant pain |
| R10.13 | Epigastric pain |
| R10.20 | Pelvic and perineal pain unspecified side |
| R10.21 | Pelvic and perineal pain right side |
| R10.22 | Pelvic and perineal pain left side |
| R10.23 | Pelvic and perineal pain bilateral |
| R10.24 | Suprapubic pain |
| R10.30 | Lower abdominal pain, unspecified |
| R10.31 | Right lower quadrant pain |
| R10.32 | Left lower quadrant pain |
| R10.33 | Periumbilical pain |
| R10.811 | Right upper quadrant abdominal tenderness |
| R10.812 | Left upper quadrant abdominal tenderness |
| R10.813 | Right lower quadrant abdominal tenderness |
| R10.814 | Left lower quadrant abdominal tenderness |
| R10.815 | Periumbilic abdominal tenderness |
| R10.816 | Epigastric abdominal tenderness |
| R10.817 | Generalized abdominal tenderness |
| R10.819 | Abdominal tenderness, unspecified site |
| R10.821 | Right upper quadrant rebound abdominal tenderness |
| R10.822 | Left upper quadrant rebound abdominal tenderness |
| R10.823 | Right lower quadrant rebound abdominal tenderness |
| R10.824 | Left lower quadrant rebound abdominal tenderness |
| R10.825 | Periumbilic rebound abdominal tenderness |
| R10.826 | Epigastric rebound abdominal tenderness |
| R10.827 | Generalized rebound abdominal tenderness |
| R10.829 | Rebound abdominal tenderness, unspecified site |
| R10.83 | Colic |
| R10.84 | Generalized abdominal pain |
| R10.85 | Abdominal pain of multiple sites |
| R10.8A1 | Right flank tenderness |
| R10.8A2 | Left flank tenderness |
| R10.8A3 | Suprapubic tenderness |
| R10.8A9 | Flank tenderness, unspecified |
| R10.9 | Unspecified abdominal pain |
| R10.A0 | Flank pain, unspecified side |
| R10.A1 | Flank pain, right side |
| R10.A2 | Flank pain, left side |
| R10.A3 | Flank pain, bilateral |
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.
- ICD-10-CM FY2027 tabular order file (category titles)Version FY2027 · effective 2026-10-01 · file icd10cm_order_2027.txtSHA-256 38981fb2c1226e2b…
- ICD-10-CM FY2027 tabular list (chapter titles and ranges)Version FY2027 · effective 2026-10-01 · file 2027-code-tables-tabular-index.zipSHA-256 37baa476323714be…
- ICD-10-CM FY2027 code descriptions addenda (codes added, deleted and revised)Version FY2027 · effective 2026-10-01 · file icd10cm_codes_addenda_2027.txtSHA-256 cfba025073235af4…
- ICD-10 MS-DRG Definitions Manual v44 (text)Version v44 · effective 2026-10-01 · file fy2027-fr-icd10-ms-drg-definitions-manual-files-v44.zipSHA-256 ae4f6c11727fe91f…
- IPPS FY2027 Tables 6A-6K: new, invalid and revised ICD-10-CM/PCS codes, CC/MCC list changes and CC exclusionsVersion FY2027 (final rule; not reissued by CN3) · effective 2026-10-01 · file fy2027-ipps-fr-tables-6a-6k.zipSHA-256 ca0af87b0869a405…
- ICD-10-CM FY2027 POA-exempt codes (full list, additions, deletions and revisions)Version FY2027 · effective 2026-10-01 · file 2027-poa-exempt-codes.zipSHA-256 03f55091045024d0…
- ICD-10-CM to CMS-HCC V28 mappings, payment year 2027 initialVersion PY2027 initial ICD-10-CM mappings (dates of service 2026) · effective 2027-01-01 · file 2027 Initial ICD-10-CM Mappings.csvSHA-256 9c260b06d0dd2806…
- Medicare Coverage Database, current Billing and Coding Articles exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file article.csvSHA-256 5e95c4a8ac3664be…
Codes from the FY2027 ICD-10-CM files (all chapters). Report the code that matches the documentation and the Official Guidelines; this list is not coding advice.