ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R10.0

Billable / Specific

Acute abdomen

R10
Block
1
Synonyms
705
LCDs
23
Payer Policies
4
Linked CPTs

About ICD-10-CM R10.0

ICD-10-CM code R10.0 represents Acute abdomen. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R10.0. Per CMS ICD-10-CM Tabular 2026.

  • Severe abdominal pain (generalized) (with abdominal rigidity)

Type 1 Excludes

Pure excludes, these codes can never be coded together with R10.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • abdominal rigidity NOS (R19.3)
  • generalized abdominal pain NOS (R10.84)
  • localized abdominal pain (R10.1-R10.3-)

Medicare LCD Coverage for R10.0

Local Coverage Determinations (LCDs) from CMS MACs that list R10.0 as a covered diagnosis.

705 LCDs

Showing top 10 of 705 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64420 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R10.0.

23 policies

5 Aetna

Allergy and Hypersensitivity - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0038
Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment of Thiopurine Therapy
Policy ID: CPB-0249
Cholecystokinin Cholescintigraphy
Policy ID: CPB-0266
Transvaginal Ultrasonography
Policy ID: CPB-0530
Lead Testing
Policy ID: CPB-0553

5 Medicare

Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56632
Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063
Billing and Coding: Electrocardiograms
Policy ID: ART-57326

CPT Codes Commonly Billed with R10.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

4 linkages
  • 10021 Fine needle aspiration biopsy Emergency Medicine
  • 10022 Fine needle aspiration biopsy, with ultrasound guidance Emergency Medicine
  • 10060 Incision and drainage of abscess Emergency Medicine
  • 10120 Incision and drainage of hematoma Emergency Medicine

Convert R10.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R10.0 78900 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R10.0, Billing FAQ

Is ICD-10 code R10.0 billable? +

Yes, R10.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R10.0? +

ICD-10 R10.0 includes: Severe abdominal pain (generalized) (with abdominal rigidity).

What codes are Type 1 Excludes for R10.0? +

Type 1 Excludes (never code together with R10.0): abdominal rigidity NOS (R19.3); generalized abdominal pain NOS (R10.84); localized abdominal pain (R10.1-R10.3-)

What CPT codes are commonly billed with R10.0? +

Procedures frequently paired with R10.0 include: 10021, 10022, 10060, 10120.

What ICD-9 codes does R10.0 map to? +

Per CMS GEMs, R10.0 maps to ICD-9 codes: 78900. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included