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v1.0.0
ICD-10 Guide
ICD-10 CodesR10

R10

Abdominal and pelvic pain

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 R10 is a used to indicate a diagnosis of abdominal and pelvic pain.

Key Diagnostic Point:

The ICD-10 Level 1 Category code R10 encompasses a range of conditions characterized by abdominal and pelvic pain. This category includes various types of pain that may arise from different underlying causes, such as gastrointestinal disorders, gynecological issues, or urinary tract problems. The clinical significance of accurately coding R10 lies in its ability to guide healthcare providers in diagnosing and managing the patient's condition effectively. It also aids in identifying trends in abdominal and pelvic pain presentations, which can inform treatment protocols and preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions
  • Differentiation of pain types
  • Potential for overlapping symptoms

Audit Risk Factors

  • Inadequate documentation
  • Misclassification of pain type
  • Failure to specify location of pain

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Obstetrics and Gynecology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related Codes

Child Codes

34 codes
R10.0
Acute abdomen
R10.1
Pain localized to upper abdomen
R10.10
Upper abdominal pain, unspecified
R10.11
Right upper quadrant pain
R10.12
Left upper quadrant pain
R10.13
Epigastric pain
R10.2
Pelvic and perineal pain
R10.3
Pain localized to other parts of lower abdomen
R10.30
Lower abdominal pain, unspecified
R10.31
Right lower quadrant pain
R10.32
Left lower quadrant pain
R10.33
Periumbilical pain
R10.8
Other abdominal pain
R10.81
Abdominal tenderness
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
R10.82
Rebound abdominal tenderness
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
R10.9
Unspecified abdominal pain

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the R10 code category is significant, as it influences quality measures related to pain management and patient satisfaction. Accurate coding can lead to better tracking of population health trends regarding abdominal and pelvic pain, which can inform healthcare policies and resource allocation. Additionally, understanding the implications of these codes can help healthcare providers improve their diagnostic accuracy and treatment effectiveness, ultimately enhancing patient outcomes.

ICD-9 vs ICD-10

The clinical and administrative impact of the R10 code category is significant, as it influences quality measures related to pain management and patient satisfaction. Accurate coding can lead to better tracking of population health trends regarding abdominal and pelvic pain, which can inform healthcare policies and resource allocation. Additionally, understanding the implications of these codes can help healthcare providers improve their diagnostic accuracy and treatment effectiveness, ultimately enhancing patient outcomes.

Reimbursement & Billing Impact

impact reimbursement rates. Claims should be submitted with the appropriate R10 code along with any relevant CPT codes that reflect the services provided. It is also important to stay updated on payer-specific requirements, as these can vary and may affect reimbursement outcomes.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for R10

Coding & Billing References

  • •
    Official ICD-10 Guidelines for R10

Frequently Asked Questions

What conditions are included in R10?

R10 includes conditions such as abdominal pain, pelvic pain, and unspecified abdominal pain. It may cover acute and chronic pain, as well as pain due to specific diagnoses like appendicitis or ovarian cysts.

When should I use R10 codes?

R10 codes should be used when a patient presents with abdominal or pelvic pain that is not attributed to a specific diagnosis. It is essential to document the nature and location of the pain to ensure accurate coding.

What documentation is required for R10?

Documentation should include a detailed description of the patient's symptoms, including the onset, duration, and characteristics of the pain, as well as any relevant medical history and physical examination findings.