R10.1 vs R10.2
R10.1 (Pain localized to upper abdomen) compared with R10.2 (Pelvic and perineal pain), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. R10.1 carries an Excludes2 note covering R10.2: “pelvic and perineal pain (R10.2-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. R10.2 carries an Excludes2 note covering R10.1: “pain localized to upper abdomen (R10.1-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| R10.1Pain localized to upper abdomen | R10.2Pelvic and perineal pain | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Pain localized to upper abdomen is a non-billable ICD-10-CM category code (R10.1). | Pelvic and perineal pain is a non-billable ICD-10-CM category code (R10.2). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources