ICD-10 R10.10
Billable / SpecificUpper abdominal pain, unspecified
About ICD-10-CM R10.10
ICD-10-CM code R10.10 represents Upper abdominal pain, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10.10 became effective on October 1, 2025.
Medicare LCD Coverage for R10.10
Local Coverage Determinations (LCDs) from CMS MACs that list R10.10 as a covered diagnosis.
Showing top 10 of 178 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R10.10.
5 Medicare
CPT Codes Commonly Billed with R10.10
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 43239 EGD with biopsy — abdominal pain, GERD, gastritis, ulcer Gastroenterology
- 43235 Diagnostic EGD — abdominal pain, nausea, vomiting, GERD, gastric ulcer, gastritis, hematemesis, melena, Barrett esophagus, dysphagia, esophagitis, weight loss, iron deficiency anemia, polyp Gastroenterology
- 74177 CT abdomen/pelvis with contrast — abdominal pain, colon cancer staging, liver mets, cholelithiasis, pancreatitis, chronic pancreatitis, pancreatic cancer, hepatomegaly, splenomegaly, abnormal imaging Radiology
- 74176 CT abdomen/pelvis without contrast — same indications as with contrast when contrast contraindicated Radiology
Convert R10.10 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R10.10 | 78909 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R10.10
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R10.10, Billing FAQ
Is ICD-10 code R10.10 billable? +
Yes, R10.10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What CPT codes are commonly billed with R10.10? +
Procedures frequently paired with R10.10 include: 43239, 43235, 74177, 74176.
What ICD-9 codes does R10.10 map to? +
Per CMS GEMs, R10.10 maps to ICD-9 codes: 78909. 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.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
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 May 31, 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