ICD-10-CM Code For Abdominal And Pelvic Pain: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group R10 includes codes for abdominal and pelvic pain presentations, covering localized and generalized pain, acute and chronic presentations, and pain specified to regions such as epigastric, periumbilical, or lower abdominal areas. These ICD-10-CM diagnosis codes are used to document clinical encounters where abdominal or pelvic pain is the primary symptom, capturing location, laterality when specified, and acute versus chronic status relevant to this group. Accurate coding within the ICD-10-CM R10 group supports complete clinical documentation and appropriate reimbursement.

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ICD-10-CM R10: Abdominal And Pelvic Pain Overview

The ICD-10-CM R10 group contains codes for abdominal and pelvic pain presentations affecting the digestive and related organ systems. These diagnoses represent symptom-level reporting for pain localized to the abdomen or pelvis and related referral patterns. Accurate coding matters for complete clinical documentation and appropriate reimbursement when pain is the primary reason for encounter.

When to Use

Use a code from this group when abdominal or pelvic pain is the primary reason for the encounter and no definitive underlying diagnosis has been established or when documenting the symptom alongside confirmed conditions. Choose the code that best specifies location, acute or chronic status, and laterality when provided in the clinical record.

ICD-10-CM Codes

42 rows

ICD-10-CM Code	Description
R10.0	Acute abdomen
R10.10	Upper abdominal pain, unspecified
R10.11	Right upper quadrant pain
R10.12	Left upper quadrant pain
R10.13	Epigastric pain
R10.20	Pelvic and perineal pain unspecified side
R10.21	Pelvic and perineal pain right side
R10.22	Pelvic and perineal pain left side
R10.23	Pelvic and perineal pain bilateral
R10.24	Suprapubic pain
R10.30	Lower abdominal pain, unspecified
R10.31	Right lower quadrant pain
R10.32	Left lower quadrant pain
R10.33	Periumbilical pain
R10.811	Right upper quadrant abdominal tenderness
R10.812	Left upper quadrant abdominal tenderness
R10.813	Right lower quadrant abdominal tenderness
R10.814	Left lower quadrant abdominal tenderness
R10.815	Periumbilic abdominal tenderness
R10.816	Epigastric abdominal tenderness

Showing 1–20 of 42

DRG Codes

2 rows

DRG Code	Description
391	Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC
392	Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC

Typical Clinical Scenarios

A middle-aged woman presents to the emergency department with sudden onset, severe right lower quadrant abdominal pain of 6 hours’ duration associated with nausea and low-grade fever; physical exam reveals rebound tenderness and guarding suggestive of an acute intra‑abdominal process. The clinician orders labs and an abdominal/pelvic CT to evaluate for appendicitis versus gynecologic causes; while imaging and workup proceed, an abdominal pain code is assigned to capture the presenting symptom. Typical codes: R10.31, R10.32
A young adult male with recurrent, crampy intermittent lower abdominal pain for several months reports increasing frequency of episodes interfering with work and sleep; prior GI evaluations including labs and colonoscopy were non-diagnostic, and symptoms are managed conservatively with scheduled follow‑up. Because the pain is chronic and localized to the lower abdominal region without an identified acute surgical cause, a chronic abdominal pain code is used to reflect the ongoing symptom burden. Typical codes: R10.33, R10.84
An elderly inpatient with a diagnosis of congestive heart failure develops new diffuse abdominal pain and distention while receiving diuretics; the team documents abdominal pain as a secondary problem influencing management while evaluating for mesenteric ischemia, bowel edema, or medication‑related causes. A symptom code from this group is recorded as a comorbidity impacting the hospital course and diagnostic workup. Typical codes: R10.9, R10.89}

Related Codes

R11-NAUSEA-AND-VOMITING

ICD-10-CM Code For Nausea And Vomiting: Group Overview

R12-HEARTBURN

ICD-10-CM Code For Heartburn: Group Overview

R13-APHAGIA-AND-DYSPHAGIA

ICD-10-CM Code For Aphagia And Dysphagia: Group Overview

R14-FLATULENCE-AND-RELATED-CONDITIONS

ICD-10-CM Code For Flatulence And Related Conditions: Group Overview

R15-FECAL-INCONTINENCE

ICD-10-CM Code For Fecal Incontinence: Group Overview

R16-HEPATOMEGALY-AND-SPLENOMEGALY

ICD-10-CM Code For Hepatomegaly And Splenomegaly Not Elsewhere Classified: Group Overview

R17-UNSPECIFIED-JAUNDICE

ICD-10-CM Code For Unspecified Jaundice: Group Overview

R18-ASCITES

ICD-10-CM Code For Ascites: Group Overview

R19-OTHER-SYMPTOMS-AND-SIGNS-DIGESTIVE-SYSTEM

ICD-10-CM Code For Other Symptoms And Signs Involving The Digestive System And Abdomen: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-CM Codes

42 rows

ICD-10-CM Code	Description
R10.0	Acute abdomen
R10.10	Upper abdominal pain, unspecified
R10.11	Right upper quadrant pain
R10.12	Left upper quadrant pain
R10.13	Epigastric pain
R10.20	Pelvic and perineal pain unspecified side
R10.21	Pelvic and perineal pain right side
R10.22	Pelvic and perineal pain left side
R10.23	Pelvic and perineal pain bilateral
R10.24	Suprapubic pain
R10.30	Lower abdominal pain, unspecified
R10.31	Right lower quadrant pain
R10.32	Left lower quadrant pain
R10.33	Periumbilical pain
R10.811	Right upper quadrant abdominal tenderness
R10.812	Left upper quadrant abdominal tenderness
R10.813	Right lower quadrant abdominal tenderness
R10.814	Left lower quadrant abdominal tenderness
R10.815	Periumbilic abdominal tenderness
R10.816	Epigastric abdominal tenderness

Showing 1–20 of 42

DRG Codes

2 rows

DRG Code	Description
391	Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC
392	Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC

Typical Clinical Scenarios

A middle-aged woman presents to the emergency department with sudden onset, severe right lower quadrant abdominal pain of 6 hours’ duration associated with nausea and low-grade fever; physical exam reveals rebound tenderness and guarding suggestive of an acute intra‑abdominal process. The clinician orders labs and an abdominal/pelvic CT to evaluate for appendicitis versus gynecologic causes; while imaging and workup proceed, an abdominal pain code is assigned to capture the presenting symptom. Typical codes: R10.31, R10.32
A young adult male with recurrent, crampy intermittent lower abdominal pain for several months reports increasing frequency of episodes interfering with work and sleep; prior GI evaluations including labs and colonoscopy were non-diagnostic, and symptoms are managed conservatively with scheduled follow‑up. Because the pain is chronic and localized to the lower abdominal region without an identified acute surgical cause, a chronic abdominal pain code is used to reflect the ongoing symptom burden. Typical codes: R10.33, R10.84
An elderly inpatient with a diagnosis of congestive heart failure develops new diffuse abdominal pain and distention while receiving diuretics; the team documents abdominal pain as a secondary problem influencing management while evaluating for mesenteric ischemia, bowel edema, or medication‑related causes. A symptom code from this group is recorded as a comorbidity impacting the hospital course and diagnostic workup. Typical codes: R10.9, R10.89}

Related Codes

R11-NAUSEA-AND-VOMITING

ICD-10-CM Code For Nausea And Vomiting: Group Overview

R12-HEARTBURN

ICD-10-CM Code For Heartburn: Group Overview

R13-APHAGIA-AND-DYSPHAGIA

ICD-10-CM Code For Aphagia And Dysphagia: Group Overview

R14-FLATULENCE-AND-RELATED-CONDITIONS

ICD-10-CM Code For Flatulence And Related Conditions: Group Overview

R15-FECAL-INCONTINENCE

ICD-10-CM Code For Fecal Incontinence: Group Overview

R16-HEPATOMEGALY-AND-SPLENOMEGALY

ICD-10-CM Code For Hepatomegaly And Splenomegaly Not Elsewhere Classified: Group Overview

R17-UNSPECIFIED-JAUNDICE

ICD-10-CM Code For Unspecified Jaundice: Group Overview

R18-ASCITES

ICD-10-CM Code For Ascites: Group Overview

R19-OTHER-SYMPTOMS-AND-SIGNS-DIGESTIVE-SYSTEM

ICD-10-CM Code For Other Symptoms And Signs Involving The Digestive System And Abdomen: Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Abdominal And Pelvic Pain: Group Overview

Sign up for ICD-10-CM Code For Abdominal And Pelvic Pain: Group Overview policy alerts

ICD-10-CM R10: Abdominal And Pelvic Pain Overview

ICD-10-CM Code For Abdominal And Pelvic Pain: Group Overview

Sign up for ICD-10-CM Code For Abdominal And Pelvic Pain: Group Overview policy alerts

ICD-10-CM R10: Abdominal And Pelvic Pain Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-CM codes cover localized upper abdominal pain?

How are pelvic and perineal pain presentations coded within R10?

Which R10 codes document abdominal tenderness and rebound tenderness?

How does the R10 group distinguish between acute, generalized, and multiple-site abdominal pain?

Which related DRGs may be associated with diagnoses in the R10 group?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-CM codes cover localized upper abdominal pain?

How are pelvic and perineal pain presentations coded within R10?

Which R10 codes document abdominal tenderness and rebound tenderness?

How does the R10 group distinguish between acute, generalized, and multiple-site abdominal pain?

Which related DRGs may be associated with diagnoses in the R10 group?

References