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v1.0.0
ICD-10 Guide
DiagnosesAbdominal Pain During Pregnancy

Abdominal Pain During Pregnancy

ICD-10 Coding for Abdominal Pain During Pregnancy(O26.89, R10.3)

PRIMARY SPECIALTYObstetrics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Abdominal Pain During Pregnancy?
Essential facts and insights about Abdominal Pain During Pregnancy

Key Clinical Considerations:

  • Presence of abdominal pain or discomfort during pregnancy
  • Exclusion of other pregnancy-related complications and conditions

Clinical Information

Clinical Criteria & Documentation Requirements

  • Detailed description of the abdominal pain, including location, severity, and duration
  • Clinical findings and observations, including any relevant test results
  • Confirmation that the pain is related to pregnancy and not another underlying condition

Coding Guidelines

Usage Guidelines & Examples

  • O26.89 is specific to other specified pregnancy-related conditions, which includes abdominal pain during pregnancy
  • R10.3 is a general code for lower abdominal pain, which may be used if the pain is not confirmed to be pregnancy-related

Code Exclusions

Important Exclusions

  • Abdominal pain due to known pregnancy complications such as ectopic pregnancy or preeclampsia
  • Non-pregnancy related abdominal pain or conditions

Related ICD-10 Codes

Primary Codes
O26.89
Other specified pregnancy-related conditions
R10.3
Lower abdominal pain
Ancillary Codes
Z3A.XX
Z33.1
Differential Codes
R10.9
O26.89

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Obstetrics

Specialty Applications

  • Pregnant patients experiencing abdominal pain or discomfort
  • Scenarios where the abdominal pain is not attributed to a specific pregnancy complication or condition

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, described as [description of pain]. Pain is confirmed to be related to pregnancy.

Template 2

Abdominal pain during pregnancy noted. Pain is [severity], located in [location], and has been present for [duration]. No other pregnancy complications identified.

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 postpartum abdominal pain?

No, these codes are specific to pregnancy. Postpartum conditions have separate codes.

When should this code be used?

This code should be used when a pregnant patient presents with abdominal pain that is not attributed to a specific pregnancy complication or condition.