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

ICD-10 Coding for Upper Abdominal Pain

R10.11
R10.12
R10.13

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

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

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

Use ICD-10 code R10.11 for right upper quadrant pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Right upper quadrant pain

Billable Code
R10.11
Billable

Diagnostic Criteria

  • • Presence of RUQ pain with positive Murphy's sign

Applicable To

  • • RUQ pain with tenderness

Important Notes

  • • Ensure documentation specifies the quadrant and any associated symptoms.

Left upper quadrant pain

Billable Code
R10.12
Billable

Diagnostic Criteria

  • • Use when pain is localized to the left upper quadrant with supporting clinical findings.

Applicable To

  • • LUQ pain with tenderness

Important Notes

  • • Document specific location and any imaging findings.

Epigastric pain

Billable Code
R10.13
Billable

Diagnostic Criteria

  • • Use when pain is localized to the epigastric region with supporting clinical findings.

Applicable To

  • • Pain in the epigastric region

Important Notes

  • • Ensure documentation specifies the epigastric location and any associated symptoms.
Ancillary Codes

Additional codes that may be used with this diagnosis

R11.0

Nausea

Use for associated symptoms of nausea.

R11.2

Vomiting

Use for associated symptoms of vomiting.

B96.81

H. pylori as the cause of diseases classified elsewhere

Use when H. pylori is confirmed as the cause.

Frequently Asked Questions

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

The ICD-10 codes for upper abdominal pain include R10.11 for right upper quadrant pain, R10.12 for left upper quadrant pain, and R10.13 for epigastric pain.

When should R10.13 be used for upper abdominal pain?

Use R10.13 for pain localized to the epigastric region, especially when associated with symptoms like burning or nausea.

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