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R10.2 ICD-10-CM Code: Pelvic and perineal pain

Billing Status: NO. This is a non-billable ICD-10-CM code: report a more specific billable code beneath it.

Coding at a Glance

Tabular directives
2 Excludes1 · 14 Excludes2

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for R10.2 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on R10.2 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Coder workflow for R10.2

MedCoder structured workflow — derived from this code’s own official record

Before you code R10.2

  1. R10.2 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewR10.20, R10.21, R10.22, R10.23, R10.24

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. Check whether an established diagnosis that explains this sign or symptom is documented. If one is, review whether the documented diagnosis changes the coding pathway: a symptom that is integral to a confirmed diagnosis is not reported separately, while one not routinely associated with it may be. Signs and symptoms are reported when no definitive diagnosis is established (Guidelines I.B.4, I.B.5, I.B.6, I.C.18.b).

    Guide: Symptom code vs confirmed diagnosis →

  3. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with R10.2. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support one of the more specific codes beneath R10.2?
    Yes → Select that code and continue the checks below on its own page.
    No → R10.2 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewR10.20, R10.21, R10.22, R10.23, R10.24

  2. Is an established diagnosis that explains this sign or symptom documented?
    Yes → Review whether the documented diagnosis changes the coding pathway: a symptom integral to it is not reported separately.
    No → Continue — the sign or symptom code stands when no definitive diagnosis is established.
  3. Does the documentation support a condition named in R10.2’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewN94.81, N23

Consider R10.2. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes1 — check before selecting R10.2(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with R10.2: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareN94.81, N23

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of R10.2(14 notes)

    Coding workflow: The conditions named in this note are not included in R10.2. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareR10.3, R10.1, R39.85, M54, R14, Q40.0

    See the official tabular notes · Guidelines I.A.12.b

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The sign or symptom is documented, and the same record establishes a diagnosis that routinely includes it.

Coding question: Is R10.2 reported in addition to the diagnosis?

Path: Review the documented diagnosis and whether the classification treats this finding as integral to it.

Reason: Signs and symptoms integral to a confirmed diagnosis are not coded separately; those not routinely associated with it may be reported when present (Guidelines I.B.5, I.B.6, I.C.18.b).

Documentation: Both the condition R10.2 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewN94.81, N23

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Coding context

The comparisons, hierarchy, index entries, guidelines, relationships, risk-adjustment and coverage context a coder commonly needs. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Don’t confuse R10.2 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of R10.2 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • N94.81— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of vulvodynia moves the case to N94.81; the two are not reported together unless documented as unrelated.

    Full comparison: R10.2 vs N94.81 →

  • N23— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of renal colic moves the case to N23; the two are not reported together unless documented as unrelated.

    Full comparison: R10.2 vs N23 →

  • R10.3— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of pain localized to other parts of lower abdomen adds R10.3; it is not part of this code and both may be reported when both are documented.

    Full comparison: R10.2 vs R10.3 →

  • R10.1— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of pain localized to upper abdomen adds R10.1; it is not part of this code and both may be reported when both are documented.

    Full comparison: R10.2 vs R10.1 →

  • R39.85— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of costovertebral (angle) tenderness adds R39.85; it is not part of this code and both may be reported when both are documented.

    Full comparison: R10.2 vs R39.85 →

  • M54— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of dorsalgia adds M54; it is not part of this code and both may be reported when both are documented.

    Full comparison: R10.2 vs M54 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Pelvic and perineal pain is a non-billable ICD-10-CM category code (R10.2). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name R10.2 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes: R52 — Pain, unspecified (via R10.-), R52 — Pain, unspecified.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 5 Excludes2 notes across 2 chapters: G89 — Pain, not elsewhere classified (via R10.-), G89 — Pain, not elsewhere classified, R10.1 — Pain localized to upper abdomen, R10.3 — Pain localized to other parts of lower abdomen, R39.85 — Costovertebral (angle) tenderness (via R10.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

Referenced by 1 Code Also instruction: N85.A — Isthmocele.

These codes suggest coding this condition alongside when both are present.

Clinical classification (AHRQ CCSR):SYM006 — Abdominal pain and other digestive/abdomen signs and symptoms (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Abdominal pain and other digestive/abdomen signs and symptoms).

G43.D0 — Abdominal migraine, not intractable, G43.D1 — Abdominal migraine, intractable, R10.0 — Acute abdomen, R10.10 — Upper abdominal pain, unspecified, R10.11 — Right upper quadrant pain, R10.12 — Left upper quadrant pain, R10.13 — Epigastric pain, R10.20 — Pelvic and perineal pain unspecified side, R10.21 — Pelvic and perineal pain right side, R10.22 — Pelvic and perineal pain left side, R10.23 — Pelvic and perineal pain bilateral, R10.24 — Suprapubic pain, R10.30 — Lower abdominal pain, unspecified, R10.31 — Right lower quadrant pain, R10.32 — Left lower quadrant pain, R10.33 — Periumbilical pain, R10.811 — Right upper quadrant abdominal tenderness, R10.812 — Left upper quadrant abdominal tenderness, R10.813 — Right lower quadrant abdominal tenderness, R10.814 — Left lower quadrant abdominal tenderness, +58 more

Contextual Map

Every relationship of R10.2 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run R10.2 with these 7 related codes in Claim Check

Hierarchy

Excludes1

  • N94.81 — Vulvodynia[Excludes1]: “vulvodynia (N94.81)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Excludes2

Referenced by Excludes1 notes

  • R52 — Pain, unspecified[Excludes1](via R10.-): “abdomen pain (R10.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • R52 — Pain, unspecified[Excludes1]: “pelvic and perineal pain (R10.2-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Excludes2 notes

Referenced by Code Also instructions

  • N85.A — Isthmocele[Code Also]: “pelvic and perineal pain (R10.2-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Clinical classification (CCSR)

Nearest codes (40)

Change history (2)

Deep reference

Published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Common coding questions

MedCoder editorial

Can R10.2 be billed directly?

No. R10.2 (Pelvic and perineal pain) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "R10.2 — Pelvic and perineal pain." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/r10.2-pelvic-and-perineal-pain

Change history

  • FY2026 — October 1, 2025
    Became a non-billable header
    FY2026 changes
  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Pelvic and perineal pain

Nearest Codes in This Family

Official ICD-10-CM classifications closest to R10.2 in its code family, with their registry titles.

View all codes in the R10 family