New code · FY2026
Billable: use this code on claims.
- New code, effective October 1, 2025 (FY2026).
Code breakdown
R10.85
- R10CategoryAbdominal and pelvic pain
- 8Character 4Other abdominal pain
- 5Character 5Abdominal pain of multiple sites
Coding notes
Excludes1
- abdominal rigidity NOS (R19.3)
- generalized abdominal pain associated with acute abdomen (R10.0)
- generalized abdominal pain NOS (R10.84)
- localized abdominal pain (R10.1-R10.3-)
Excludes1 (from R10)
- renal colic (N23)
Excludes2 (from R10)
- costovertebral (angle) tenderness (R39.85)
- dorsalgia (M54.-)
- flatulence and related conditions (R14.-)
Medicare coverage
R10.85 is listed as a covered diagnosis in 18 Medicare billing and coding articles:
- A55028 Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
- A55336 Billing and Coding: Retroperitoneal Ultrasound
- A55937 Billing and Coding: Diagnostic Colonoscopy
- A56421 Billing and Coding: CT of the Abdomen and Pelvis
- A56580 Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56632 Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56697 Billing and Coding: Non-Invasive Vascular Studies
- A56727 Billing and Coding: Wireless Capsule Endoscopy
- A57063 Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
- A57414 Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
…and 8 more. Check the coverage tool for your CPT code.
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ICD-10-CM codes and descriptions are from the CMS and NCHS code files. Coverage is from the CMS Medicare Coverage Database billing and coding articles.