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v1.0.0
ICD-10 Guide
DiagnosesAbd Pain In Pregnancy

Abd Pain In Pregnancy

ICD-10 Coding for Abdominal Pain in Pregnancy(O26.89, O99.612, R10.9)

PRIMARY SPECIALTYObstetrics
COMPLEXITYHigh
LAST UPDATED09/08/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Abd Pain In Pregnancy?
Essential facts and insights about Abdominal Pain in Pregnancy

Key Clinical Considerations:

  • Presence of abdominal pain or discomfort during pregnancy
  • Severity, location, and duration of the abdominal pain
  • Any associated symptoms such as nausea, vomiting, or fever

Clinical Information

Clinical Criteria & Documentation Requirements

  • Detailed description of the abdominal pain including onset, location, duration, and severity
  • Any associated symptoms and their severity
  • Results of any relevant diagnostic tests or examinations

Coding Guidelines

Usage Guidelines & Examples

  • O26.89 is used for other specified complications of pregnancy, not elsewhere classified
  • O99.612 is used for diseases of the digestive system complicating pregnancy, second trimester
  • R10.9 is a general code for unspecified abdominal pain

Code Exclusions

Important Exclusions

  • Abdominal pain not related to pregnancy
  • Abdominal pain caused by conditions not specified in the diagnosis

Related ICD-10 Codes

Primary Codes
O26.89
Other specified complications of pregnancy, not elsewhere classified
O99.612
Diseases of the digestive system complicating pregnancy, second trimester
R10.9
Unspecified abdominal pain
Ancillary Codes
Z3A.__
K35.2
Z33.1
Differential Codes
O99.6
O26.89

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Obstetrics

Specialty Applications

  • Pregnant women experiencing abdominal pain
  • Pregnant women with digestive system diseases causing abdominal pain

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Template 1

Patient presents with abdominal pain of [describe severity] in the [describe location]. Pain has been present for [describe duration].

Template 2

Patient is in the [specify trimester] of pregnancy and is experiencing abdominal pain due to a diagnosed digestive system disease.

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Can this code be used for abdominal pain in non-pregnant individuals?

No, these codes are specifically for abdominal pain in pregnancy.

When should this code be used?

This code should be used when a pregnant patient presents with abdominal pain, and it has been determined that the pain is related to the pregnancy or a digestive system disease.