ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R10.85

Billable / Specific

Abdominal pain of multiple sites

R10
Block
0
Synonyms
803
LCDs
18
Payer Policies
0
Linked CPTs

About ICD-10-CM R10.85

ICD-10-CM code R10.85 represents Abdominal pain of multiple sites. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10.85 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with R10.85. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • abdominal rigidity NOS (R19.3)
  • generalized abdominal pain associated with acute abdomen (R10.0)
  • generalized abdominal pain NOS (R10.84)
  • localized abdominal pain (R10.1-R10.4-)

Medicare LCD Coverage for R10.85

Local Coverage Determinations (LCDs) from CMS MACs that list R10.85 as a covered diagnosis.

803 LCDs

Showing top 10 of 803 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45398 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R10.85.

18 policies

5 Medicare

Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
Policy ID: ART-55028
Billing and Coding: Retroperitoneal Ultrasound
Policy ID: ART-55336
Billing and Coding: Diagnostic Colonoscopy
Policy ID: ART-55937
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580

CPT Codes Commonly Billed with R10.85

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for R10.85

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.

ICD-10 R10.85, Billing FAQ

Is ICD-10 code R10.85 billable? +

Yes, R10.85 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for R10.85? +

Type 1 Excludes (never code together with R10.85): abdominal rigidity NOS (R19.3); generalized abdominal pain associated with acute abdomen (R10.0); generalized abdominal pain NOS (R10.84)

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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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