R10 ICD-10-CM Code: Abdominal and pelvic pain
HCC Buddy Code Card
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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Symptoms and signs involving the digestive system and abdomen (R10-R19)
R10
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceAbdominal and pelvic pain
Abdominal and pelvic pain
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for R10 in this effective period.
Excludes 2
Official- costovertebral (angle) tenderness (R39.85)
- dorsalgia (M54.-)
- flatulence and related conditions (R14.-)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for R10 in this effective period.
Excludes 1
Official- renal colic (N23)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for R10 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for R10 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for R10 in this effective period.
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Coder workflow notes
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What This Code Means
R10 is the ICD-10-CM diagnosis code for abdominal and pelvic pain. R10 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving the digestive system and abdomen (r10-r19).
Header codes like R10 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at R10's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R10 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Excludes 1, Do NOT code together
- renal colic (N23)