2025 ICD-10-CM code R10
Abdominal and pelvic pain.
No modifiers are applicable to ICD-10-CM codes.
Medical necessity for managing abdominal and pelvic pain is established by the clinician's judgment based on the patient's symptoms, medical history, physical examination, and results of diagnostic testing.The necessity of further investigations or treatments should be justified by appropriate documentation.
Clinicians are responsible for thoroughly evaluating patients presenting with abdominal and pelvic pain. This involves obtaining a detailed history of the pain's onset, location, character, radiation, aggravating and relieving factors, and associated symptoms.A physical examination, including palpation of the abdomen and pelvis, is necessary. Further investigations like blood tests, imaging studies (e.g., ultrasound, CT scan), or endoscopic procedures might be required depending on the suspected etiology.
In simple words: This code represents pain in the belly and pelvic area.
Abdominal and pelvic pain encompasses a wide range of discomfort or pain sensations experienced in the abdominal and pelvic regions. It's a common symptom with various potential causes, ranging from minor indigestion to serious medical conditions.It's crucial to differentiate the pain's characteristics, location, and associated symptoms to guide diagnosis and treatment.
Example 1: A 25-year-old female presents with sharp, cramping lower abdominal pain. Her last menstrual period was two weeks ago.An ultrasound reveals a ruptured ovarian cyst. R10.3 (Pain localized to other parts of lower abdomen) is used to code the pain symptom., A 40-year-old male experiences sudden onset of severe upper abdominal pain radiating to his back.He has a history of alcohol abuse.Diagnosis is acute pancreatitis.R10.1 (Pain localized to upper abdomen) is applied for the presenting abdominal pain., An elderly patient with a history of constipation complains of generalized, dull abdominal pain and bloating. A physical exam reveals distension and tenderness upon palpation. A diagnosis of fecal impaction is made.R10.8 (Other abdominal pain) is the appropriate code for the unlocalized abdominal pain.
Documentation should clearly describe the location, quality, severity, duration, and radiation of pain.Associated symptoms (nausea, vomiting, fever, etc.), pertinent medical history, physical exam findings, and results of diagnostic tests should also be documented.The clinician's diagnostic impression and treatment plan should be included.
** Excludes1 notes indicate that the excluded condition cannot be coded with R10. For example, renal colic (N23) cannot be coded with R10.Excludes2 notes indicate that certain conditions related to R10 are classified elsewhere. For example, dorsalgia (M54.-) and flatulence (R14.-) are excluded.
- Payment Status: Active
- Specialties:Many specialties might use this code, depending on the reason of pain. some might be: Gastroenterology, General surgery, Internal medicine, Emergency medicine, Gynecology, Urology
- Place of Service:Multiple places of service possible.