R10.1 – Pain localized to upper abdomen

ICD-10-CM 2027 diagnosis code · Symptoms and signs involving the digestive system and abdomen

Non-billable header

ICD-10-CM code R10.1

Code: R10.1 (claims format: R101)
Description: Pain localized to upper abdomen
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 18. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
Block: R10-R19 Symptoms and signs involving the digestive system and abdomen
Parent codes: R10

Billable codes under R10.1

R10.1 is a header code and cannot be used on claims. Choose the most specific code:

R10.10 – Upper abdominal pain, unspecifiedBillable
R10.11 – Right upper quadrant painBillable
R10.12 – Left upper quadrant painBillable
R10.13 – Epigastric painBillable

Notes for R10.1

Excludes2 (not included here):

pain localized to flank (R10.A-)
pelvic and perineal pain (R10.2-)

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

R10 – Abdominal and pelvic pain

Excludes1 (not coded here):

renal colic (N23)

Excludes2 (not included here):

costovertebral (angle) tenderness (R39.85)
dorsalgia (M54.-)
flatulence and related conditions (R14.-)

Block R10-R19

Excludes2 (not included here):

congenital or infantile pylorospasm (Q40.0)
gastrointestinal hemorrhage (K92.0-K92.2)
intestinal obstruction (K56.-)
newborn gastrointestinal hemorrhage (P54.0-P54.3)
newborn intestinal obstruction (P76.-)
pylorospasm (K31.3)
signs and symptoms involving the urinary system (R30-R39)
symptoms referable to female genital organs (N94.-)
symptoms referable to male genital organs (N48-N50)

Related codes in R10

R10.0 – Acute abdomenBillable
R10.2 – Pelvic and perineal painHeader
R10.3 – Pain localized to other parts of lower abdomenHeader
R10.8 – Other abdominal painHeader
R10.9 – Unspecified abdominal painBillable
R10.A – Pain localized to flankHeader

Frequently asked questions

What is ICD-10 code R10.1?

R10.1 is the ICD-10-CM code for pain localized to upper abdomen, in the block R10-R19 (Symptoms and signs involving the digestive system and abdomen).

Is R10.1 a billable code?

No. R10.1 is a header code with more specific child codes; report one of the billable codes listed above.

What category does R10.1 belong to?

It belongs to category R10 – Abdominal and pelvic pain.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.