Is R10.81 a billable ICD-10-CM code?

No. R10.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R10.81 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).

R10.81

R10.81 — Abdominal tenderness

Non-billable headerICD-10-CM

R10.81 is a non-billable header ICD-10-CM code for abdominal tenderness. It cannot be billed on its own: choose one of the more specific child codes below.

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.

pain localized to other parts of lower abdomen (R10.3-)
pain localized to upper abdomen (R10.1-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Abdominal tenderness NOS

Risk adjustment

R10.81 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 R10.81

8 child codes. Green means billable.

Related codes at this level

Codes that share R10.8. If R10.81 is not quite right, the correct code is usually one of these.

Questions about R10.81

Is R10.81 a billable ICD-10-CM code?: No. R10.81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R10.81 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).