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Home/Diagnosis/ICD-10 Coding for Stomach Ache

ICD-10 Coding for Stomach Ache

R10.9
R10.11

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

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

Essential facts and insights about ICD-10 Coding for Stomach Ache

Use ICD-10 code R10.9 for unspecified abdominal pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified abdominal pain

Billable Code
R10.9
Billable

Diagnostic Criteria

documentation_criteria:
  • • Document any associated symptoms like nausea or vomiting.
applicable_to:
  • • General abdominal pain
excludes:
  • • Abdominal rigidity (R19.3)
validation:
  • • Patient reports abdominal pain without specific location or characteristics.
notes:
  • • Ensure documentation specifies any associated symptoms or potential causes.
risks:
  • • Risk of audit due to lack of specificity.

Right upper quadrant pain

Billable Code
R10.11
Billable

Diagnostic Criteria

applicable_to:
  • • RUQ pain
excludes:
  • • Pain due to gallstones (K80.20)
validation:
  • • Patient reports pain localized to the right upper quadrant.
notes:
  • • Document specific quadrant and any associated findings like tenderness.
Ancillary Codes

Additional codes that may be used with this diagnosis

R11.0

Nausea

Use when nausea accompanies the abdominal pain.

R10.811

Rebound tenderness

Use when rebound tenderness is present with RUQ pain.

Frequently Asked Questions

What is the ICD-10 code for stomach ache?

The ICD-10 code for unspecified stomach ache is R10.9, but specific codes like R10.11 for right upper quadrant pain should be used when possible.

How do you code abdominal pain in ICD-10?

Abdominal pain is coded using the R10 series, with specific codes for different locations like R10.11 for RUQ pain.

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