ICD-10 R10.813
Billable / SpecificRight lower quadrant abdominal tenderness
About ICD-10-CM R10.813
ICD-10-CM code R10.813 represents Right lower quadrant abdominal tenderness. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10.813 became effective on October 1, 2025.
Medicare LCD Coverage for R10.813
Local Coverage Determinations (LCDs) from CMS MACs that list R10.813 as a covered diagnosis.
Showing top 10 of 628 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R10.813.
5 Medicare
CPT Codes Commonly Billed with R10.813
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R10.813 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 |
|---|---|---|
| R10.813 | 78963 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R10.813
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R10.813, Billing FAQ
Is ICD-10 code R10.813 billable? +
Yes, R10.813 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does R10.813 map to? +
Per CMS GEMs, R10.813 maps to ICD-9 codes: 78963. 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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