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R10.816

Billable

Epigastric abdominal tenderness

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Tenderness or pain in the upper central area of the abdomen (just below the breastbone) when touched or pressed.

Coding Tips

  • •Epigastric tenderness is commonly associated with gastric or upper GI conditions
  • •Ensure documentation specifies epigastric location rather than general upper abdominal tenderness

Code Hierarchy

└R10Abdominal and pelvic pain└R10.8Other abdominal pain└R10.81Abdominal tenderness└R10.816Epigastric abdominal tenderness
└R10.816Epigastric abdominal tenderness

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