R10.1

Non-Billable
ChapterR00–R99
Ranksubcategory
Official Description

Pain localized to upper abdomen

Metadata & Insights
  • 2026 ICD-10-CM Edition - Effective October 1, 2025.
  • Non-billable category (requires more specific sub-code).
  • Chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings (R00-R99).

Instructional Notes

Excludes2(Not included here)
  • pain localized to flank (R10.A-)
  • pelvic and perineal pain (R10.2-)
General instructions are available for the parent sections:

Clinical Hierarchy

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 pain
R10.1Pain localized to upper abdomen
R10.10Upper abdominal pain, unspecified
R10.11Right upper quadrant pain
R10.12Left upper quadrant pain
R10.13Epigastric pain

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to R10.1:

categoryR10
Abdominal and pelvic pain
View context instructions
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

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to R10.1. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

7 raw paths
Distress1 unique routes
Dyspepsia1 unique routes
Direct index entryR10.1

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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