ICD-10-CM Diagnosis Code R10.1 - Pain localized to upper abdomen (original) (raw)

ICD List 2025-2026 Edition

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3. R00–R99
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6. 2026 ICD-10-CM Code R10.1

Pain localized to upper abdomen

ICD-10-CM Code:

R10.1

ICD-10 Code for:

Pain localized to upper abdomen

Is Billable?

Not Valid for Submission

Code Navigator:

R10.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity from the list below for a diagnosis of pain localized to upper abdomen. The code is not specific and is NOT valid for the year 2026 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Non-specific codes like R10.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following billable codes with a higher level of specificity when coding for pain localized to upper abdomen:

Use R10.10 for Upper abdominal pain, unspecified

Use R10.11 for Right upper quadrant pain

Use R10.12 for Left upper quadrant pain

Use R10.13 for Epigastric pain

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6. Code History

• Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  R00–R99
  • Symptoms and signs involving the digestive system and abdomen
    R10-R19
    * Abdominal and pelvic pain
    R10

Abdominal Pain

Your abdomen extends from below your chest to your groin. Some people call it the stomach, but your abdomen contains many other important organs. Pain in the abdomen can come from any one of them. The pain may start somewhere else, such as your chest. Severe pain doesn't always mean a serious problem. Nor does mild pain mean a problem is not serious.

Call your health care provider if mild pain lasts a week or more or if you have pain with other symptoms. Get medical help immediately if:

• You have abdominal pain that is sudden and sharp
• You also have pain in your chest, neck or shoulder
• You're vomiting blood or have blood in your stool
• Your abdomen is stiff, hard and tender to touch
• You can't move your bowels, especially if you're also vomiting

[Learn More in MedlinePlus]

• FY 2026 - No Change, effective from 10/1/2025 through 9/30/2026

• FY 2025 - No Change, effective from 10/1/2024 through 9/30/2025

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024

• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023

• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022

• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019

• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018

• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

• Previous Code: R10.0

• Parent Code: R10

• Next Code: R10.10