ICD-10 R10.2
Non-Billable HeaderPelvic and perineal pain
About ICD-10-CM R10.2
ICD-10-CM code R10.2 represents Pelvic and perineal 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 R10.2 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 R10.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- vulvodynia (N94.81)
Type 2 Excludes
Not included here, the excluded code is not part of R10.2, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- pain localized to other parts of lower abdomen (R10.3-)
- pain localized to upper abdomen (R10.1-)
Medicare LCD Coverage for R10.2
Local Coverage Determinations (LCDs) from CMS MACs that list R10.2 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 R10.2.
1 Aetna
CPT Codes Commonly Billed with R10.2
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 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
- 76857 Pelvic ultrasound non-OB — BPH, urinary retention, hematuria, poor stream, hydronephrosis, bladder cancer, pelvic pain, cystitis Urology
Convert R10.2 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 |
|---|---|---|
| R10.2 | 6089 | 10000 |
| R10.2 | 6259 | 10000 |
| R10.2 | 78909 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R10.2
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R10.2, Billing FAQ
Is ICD-10 code R10.2 billable? +
No, R10.2 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 R10.2? +
Type 1 Excludes (never code together with R10.2): vulvodynia (N94.81)
What codes are Type 2 Excludes for R10.2? +
Type 2 Excludes (may be coded together when both conditions exist): pain localized to other parts of lower abdomen (R10.3-); pain localized to upper abdomen (R10.1-)
What CPT codes are commonly billed with R10.2? +
Procedures frequently paired with R10.2 include: 10021, 10022, 10060, 10120, 76857.
What ICD-9 codes does R10.2 map to? +
Per CMS GEMs, R10.2 maps to ICD-9 codes: 6089, 6259, 78909. 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 July 16, 2026.
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