R10
R10 — Abdominal and pelvic pain
Non-billable headerICD-10-CM
R10 is a non-billable header ICD-10-CM code for abdominal and pelvic pain. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- renal colic (N23)
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with R10
These codes carry an Excludes1 note pointing at R10. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R10 alone.
Risk adjustment
R10 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead R10
7 child codes. Green means billable.
Questions about R10
- Is R10 a billable ICD-10-CM code?
- No. R10 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does R10 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).
- What cannot be coded together with R10?
- R10 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.