ICD-10 R10
Non-Billable HeaderAbdominal and pelvic pain
About ICD-10-CM R10
ICD-10-CM code R10 represents Abdominal and pelvic pain. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R10. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- renal colic (N23)
Type 2 Excludes
Not included here, the excluded code is not part of R10, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- costovertebral (angle) tenderness (R39.85)
- dorsalgia (M54.-)
- flatulence and related conditions (R14.-)
Medicare LCD Coverage for R10
Local Coverage Determinations (LCDs) from CMS MACs that list R10 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R10.
1 Cigna
CPT Codes Commonly Billed with R10
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 94750 Oximetry for respiratory symptoms Internal Medicine
Codes Adjacent To R10
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R10, Billing FAQ
Is ICD-10 code R10 billable? +
No, R10 is a non-billable header code. Use a more specific child code from block R10 when submitting claims.
What codes are Type 1 Excludes for R10? +
Type 1 Excludes (never code together with R10): renal colic (N23)
What codes are Type 2 Excludes for R10? +
Type 2 Excludes (may be coded together when both conditions exist): costovertebral (angle) tenderness (R39.85); dorsalgia (M54.-); flatulence and related conditions (R14.-)
What CPT codes are commonly billed with R10? +
Procedures frequently paired with R10 include: 94750.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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