R10

Non-Billable
ChapterR00–R99
Rankcategory
Official Description

Abdominal and pelvic pain

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (R00-R99).

CH18 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

R10-R19 Parent Instructions

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)

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.-)

Clinical Hierarchy

BillableHas subcodes
CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
R10-R19Symptoms and signs involving the digestive system and abdomen (R10-R19)
R10Abdominal and pelvic painNot billable
R10.0Acute abdomenBillable
R10.1Pain localized to upper abdomenSubcodes
R10.2Pelvic and perineal painSubcodes
R10.3Pain localized to other parts of lower abdomenSubcodes
R10.8Other abdominal painSubcodes
R10.9Unspecified abdominal painBillable
R10.APain localized to flankSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to R10:

blockR10-R19
Symptoms and signs involving the digestive system and abdomen (R10-R19)
View context instructions
chapterCH18
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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