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Home/Diagnosis/ICD-10 Coding for Epigastric Pain

ICD-10 Coding for Epigastric Pain

R10.13
K21.9

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

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

Essential facts and insights about ICD-10 Coding for Epigastric 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 without specific diagnostic findings.
coding:
  • • No definitive diagnosis established; symptom coding is appropriate.
documentation:
  • • Detailed description of pain characteristics and associated symptoms.

Applicable To

  • • Localized epigastric pain

Important Notes

  • • Ensure documentation specifies the epigastric location and excludes other specific diagnoses.

Gastro-esophageal reflux disease without esophagitis

Billable Code
K21.9
Billable

Diagnostic Criteria

clinical:
  • • Endoscopic evidence of GERD
  • • pH monitoring results indicating reflux

Applicable To

  • • GERD without esophagitis

Important Notes

  • • Ensure GERD is confirmed through appropriate diagnostic tests.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.9

Unspecified abdominal pain

Use when pain location is not specified or documented.

Frequently Asked Questions

When should R10.13 be used for epigastric pain?

R10.13 should be used when epigastric pain is the primary symptom and no definitive diagnosis is established. Ensure documentation specifies pain characteristics and excludes other conditions.

What is the ICD-10 code for epigastric pain?

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

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