Is ICD-10-CM code R10 billable?

No, R10 (Abdominal and pelvic pain) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code R10 belong to?

R10 belongs to Chapter 18 of the ICD-10-CM tabular list: R00–R99 (Symptoms, Signs and Abnormal Clinical and Laboratory Findings).

R10Not billable, use a more specific code below

Abdominal and pelvic pain

In Symptoms and signs involving the digestive system and abdomen (R10-R19), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

42 billable codes under R10: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

renal colic (N23)

Excludes2: not included here, code separately if applicable

costovertebral (angle) tenderness (R39.85)
dorsalgia (M54.-)
flatulence and related conditions (R14.-)

Also applies, from Symptoms and signs involving the digestive system and abdomen (R10-R19)

These notes sit on R10-R19 and apply to every code under it, including R10.

Excludes2: not included here, code separately if applicable

congenital or infantile pylorospasm (Q40.0)
gastrointestinal hemorrhage (K92.0-K92.2)
intestinal obstruction (K56.-)
newborn gastrointestinal hemorrhage (P54.0-P54.3)
newborn intestinal obstruction (P76.-)
pylorospasm (K31.3)
signs and symptoms involving the urinary system (R30-R39)
symptoms referable to female genital organs (N94.-)
symptoms referable to male genital organs (N48-N50)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

Use of symptom codes (page 75)
Use of a symptom code with a definitive diagnosis code (page 75)
Combination codes that include symptoms (page 75)
Repeated falls (page 76)
Coma (page 76)
Functional quadriplegia (page 76)
SIRS due to Non-Infectious Process (page 77)
Death NOS (page 77)

Read Section I.C.18 (page 75), 1 more topics

All codes under R10

R10 can't be used on a claim. Pick a billable code below; grey headings group them.

R10 MS-DRGs

As the principal diagnosis, all 42 billable codes under R10 group to MS-DRG 391 or 392 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to R10

Notes on these codes point to R10.

G89 Excludes2: abdomen pain (R10.-)
R39.85 Excludes2: abdominal and pelvic pain (R10.-)
R52 Excludes1: abdomen pain (R10.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Abdominal Pain

Your abdomen extends from below your chest to your groin. Some people call it the stomach, but your abdomen contains many other important organs. Pain in the abdomen can come from any one of them. The pain may start somewhere else, such as your chest. Severe pain doesn't always mean a serious problem. Nor does mild pain mean a problem is not serious.

Pelvic Pain

Pelvic pain occurs mostly in the lower abdomen area. The pain might be steady, or it might come and go. It can be a sharp and stabbing pain in a specific spot, or a dull pain that is spread out. If the pain is severe, it might get in the way of your daily activities.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.