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Home/Diagnosis/ICD-10 Coding for Abdominal Pain

ICD-10 Coding for Abdominal Pain

R10.0
R10.3

Complete ICD-10-CM coding and documentation guide for icd-10 coding for abdominal pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Stomach Pain
Belly Ache
Tummy Pain
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Key Information: ICD-10 Coding for Abdominal Pain

Essential facts and insights about ICD-10 Coding for Abdominal Pain

Use ICD-10 code R10.0 for acute abdomen, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute abdomen

Billable Code
R10.0
Billable

Diagnostic Criteria

  • • Presence of severe abdominal pain with peritoneal signs.

Applicable To

  • • Severe abdominal pain
  • • Peritoneal signs

Important Notes

  • • Ensure documentation supports the severity and acute nature of the condition.

Pain localized to other parts of lower abdomen

Non-Billable
R10.3
Non-Billable

Diagnostic Criteria

  • • Physical exam showing localized tenderness
  • • Imaging confirming location

Applicable To

  • • Right lower quadrant pain
  • • Left lower quadrant pain

Important Notes

  • • Document specific quadrant and characteristics of pain.
Ancillary Codes

Additional codes that may be used with this diagnosis

K35.8

Acute appendicitis

Use when appendicitis is confirmed as the cause of acute abdomen.

Frequently Asked Questions

What ICD-10 code is used for abdominal pain?

ICD-10 code R10.9 is used for unspecified abdominal pain, while specific codes like R10.31 are used for localized pain.

How to code right lower quadrant pain?

Use ICD-10 code R10.31 for right lower quadrant pain, ensuring documentation specifies location and severity.

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