2025 ICD-10-CM code R10.11
(Active) Effective Date: N/A Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified - Symptoms and signs involving the digestive system and abdomen (R10-R19) Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Right upper quadrant pain.
Medical necessity is established by the need to evaluate and diagnose the underlying cause of the right upper quadrant pain.The documentation should support the need for diagnostic testing or therapeutic interventions.
Clinicians should investigate the underlying cause of the pain and not use this code if a more specific diagnosis is available.
- Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- Symptoms and signs involving the digestive system and abdomen (R10-R19)
In simple words: Pain in the upper right part of the belly.
Pain localized to the right upper quadrant of the abdomen.
Example 1: A patient presents with sharp pain in their right upper quadrant, radiating to their back. Further investigation reveals gallstones., A patient experiences a dull ache in their right upper quadrant after eating a fatty meal, possibly indicating a liver issue., A patient complains of persistent discomfort in their right upper quadrant. Diagnostic imaging shows inflammation of the hepatic flexure of the colon.
Detailed documentation of the location and characteristics of the pain, including onset, duration, quality, and any associated symptoms. Additional diagnostic information is necessary to identify a more precise underlying cause for proper coding.
- Specialties:Gastroenterology, General practice, Internal medicine, Emergency medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital,Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home