ICD-10 R10.11
Billable / SpecificRight upper quadrant pain
About ICD-10-CM R10.11
ICD-10-CM code R10.11 represents Right upper quadrant pain. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10.11 became effective on October 1, 2025.
Medicare LCD Coverage for R10.11
Local Coverage Determinations (LCDs) from CMS MACs that list R10.11 as a covered diagnosis.
Showing top 10 of 980 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R10.11.
5 Medicare
CPT Codes Commonly Billed with R10.11
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Convert R10.11 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 |
|---|---|---|
| R10.11 | 78901 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R10.11
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R10.11, Billing FAQ
Is ICD-10 code R10.11 billable? +
Yes, R10.11 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 R10.11? +
Procedures frequently paired with R10.11 include: 43239, 43235.
What ICD-9 codes does R10.11 map to? +
Per CMS GEMs, R10.11 maps to ICD-9 codes: 78901. 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