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Home/Diagnosis/ICD-10 Coding for Epigastric Discomfort

ICD-10 Coding for Epigastric Discomfort

R10.13
K21.9

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

Also Known as:
Epigastric Pain
Upper Abdominal Pain
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Key Information: ICD-10 Coding for Epigastric Discomfort

Essential facts and insights about ICD-10 Coding for Epigastric Discomfort

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 is localized to the epigastric region and no other cause is confirmed.
coding:
  • • Do not use if a specific diagnosis like gastritis or pancreatitis is confirmed.

Applicable To

  • • Pain localized to the epigastric region

Important Notes

  • • Ensure that the documentation specifies the location and nature of the pain.

Gastro-esophageal reflux disease without esophagitis

Billable Code
K21.9
Billable

Diagnostic Criteria

clinical:
  • • Endoscopy or pH monitoring confirms GERD without esophagitis

Applicable To

  • • GERD without esophagitis

Important Notes

  • • Document the diagnostic method used to confirm GERD.
Ancillary Codes

Additional codes that may be used with this diagnosis

K21.9

Gastro-esophageal reflux disease without esophagitis

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

Frequently Asked Questions

What is the ICD-10 code for epigastric discomfort?

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

How should epigastric pain be documented?

Document epigastric pain with specific details such as location, quality, and triggers to ensure accurate coding and diagnosis.

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