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Home/Diagnosis/ICD-10 Coding for Epigastric Abdominal Pain

ICD-10 Coding for Epigastric Abdominal Pain

R10.13

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

Also Known as:
Upper Central Abdominal Pain
Stomach Pain
upper abdominal pain
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Key Information: ICD-10 Coding for Epigastric Abdominal Pain

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

Use ICD-10 code R10.13 for epigastric pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Epigastric pain

Billable Code
R10.13
Billable

Diagnostic Criteria

clinical:
  • Pain localized to the epigastric region with no confirmed diagnosis
coding:
  • Use R10.13 only when no definitive diagnosis is available
documentation:
  • Document location, character, duration, and associated symptoms

Applicable To

  • • Pain localized to the epigastric region

Important Notes

  • • Ensure documentation specifies 'epigastric pain' and not vague terms like 'stomach ache'.
Ancillary Codes

Additional codes that may be used with this diagnosis

K21.9

Gastro-esophageal reflux disease without esophagitis

Use when GERD is confirmed as the cause of epigastric pain.

K29.70

Gastritis, unspecified, without bleeding

Use when gastritis is confirmed as the cause of epigastric pain.

Frequently Asked Questions

What is the ICD-10 code for epigastric abdominal pain?

The ICD-10 code for epigastric abdominal pain is R10.13, used when pain is localized to the epigastric region without a confirmed diagnosis.

When should R10.13 be used?

Use R10.13 for undifferentiated epigastric pain when no definitive diagnosis is available. Transition to specific codes upon confirmation of conditions like GERD or gastritis.

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