ICD-10 R10.13
Billable / SpecificEpigastric pain
About ICD-10-CM R10.13
ICD-10-CM code R10.13 represents Epigastric pain. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10.13 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under R10.13. Per CMS ICD-10-CM Tabular 2026.
- Dyspepsia
Type 1 Excludes
Pure excludes, these codes can never be coded together with R10.13. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- functional dyspepsia (K30)
Medicare LCD Coverage for R10.13
Local Coverage Determinations (LCDs) from CMS MACs that list R10.13 as a covered diagnosis.
Showing top 10 of 1,038 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R10.13.
1 Aetna
5 Medicare
CPT Codes Commonly Billed with R10.13
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
Convert R10.13 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 |
|---|---|---|
| R10.13 | 78906 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R10.13
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R10.13, Billing FAQ
Is ICD-10 code R10.13 billable? +
Yes, R10.13 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 R10.13? +
ICD-10 R10.13 includes: Dyspepsia.
What codes are Type 1 Excludes for R10.13? +
Type 1 Excludes (never code together with R10.13): functional dyspepsia (K30)
What CPT codes are commonly billed with R10.13? +
Procedures frequently paired with R10.13 include: 43239, 43235.
What ICD-9 codes does R10.13 map to? +
Per CMS GEMs, R10.13 maps to ICD-9 codes: 78906. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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