ICD-10 R10.9
Billable / SpecificUnspecified abdominal pain
About ICD-10-CM R10.9
ICD-10-CM code R10.9 represents Unspecified abdominal pain. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R10). The 2026 edition of ICD-10-CM R10.9 became effective on October 1, 2025.
Medicare LCD Coverage for R10.9
Local Coverage Determinations (LCDs) from CMS MACs that list R10.9 as a covered diagnosis.
Showing top 10 of 185 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R10.9.
5 Aetna
5 Medicare
CPT Codes Commonly Billed with R10.9
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 43239 EGD with biopsy — abdominal pain, GERD, gastritis, ulcer Gastroenterology
- 99202 New patient office visit — fever, headache, abdominal pain, cough, dyspnea, fatigue, dizziness, limb pain, nausea, routine exam, URI, UTI, pharyngitis, otitis, chest pain, weight loss Primary Care
- 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
- 99212 Established patient — URI, UTI, pharyngitis, otitis, dermatitis, rash, viral infection, cellulitis, conjunctivitis, sinusitis, bronchitis, ankle sprain Primary Care
- 99213 Established patient — HTN follow-up, diabetes management, hyperlipidemia, asthma, anxiety, common complaints, back pain, GERD, migraine, acne, joint pain, prediabetes, obesity, anemia, hypothyroid, fatigue Primary Care
- 43235 Diagnostic EGD — abdominal pain, nausea, vomiting, GERD, gastric ulcer, gastritis, hematemesis, melena, Barrett esophagus, dysphagia, esophagitis, weight loss, iron deficiency anemia, polyp Gastroenterology
- 74177 CT abdomen/pelvis with contrast — abdominal pain, colon cancer staging, liver mets, cholelithiasis, pancreatitis, chronic pancreatitis, pancreatic cancer, hepatomegaly, splenomegaly, abnormal imaging Radiology
- 74176 CT abdomen/pelvis without contrast — same indications as with contrast when contrast contraindicated Radiology
- 50590 Lithotripsy — kidney stone, ureter stone, kidney/ureter stone, obstructive uropathy, abdominal pain, abnormal urine Urology
- 99281 ED visit level 1 — fever, cough, URI, abdominal pain, dizziness, laceration, ankle sprain, nausea, minor injury Emergency Medicine
Convert R10.9 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 |
|---|---|---|
| R10.9 | 78900 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R10.9
Other codes in section R10-R19 (Symptoms and signs involving the digestive system and abdomen).
ICD-10 R10.9, Billing FAQ
Is ICD-10 code R10.9 billable? +
Yes, R10.9 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 R10.9? +
Procedures frequently paired with R10.9 include: 43239, 99202, 99203, 99212, 99213.
What ICD-9 codes does R10.9 map to? +
Per CMS GEMs, R10.9 maps to ICD-9 codes: 78900. 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 17, 2026.
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