AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2025 Issue 4; New/Revised ICD-10-CM Codes
Abdominal and Pelvic Pain
Several changes have been made to category R10, Abdominal and pelvic pain, to classify more specific sites and types of abdominal and pelvic pain.Code R10.2, Pelvic and perineal pain, has been expanded to classify: Pelvic and perineal pain unspecified side (R10.20), Pelvic and perineal pain right side (R10.21), Pelvic and perineal pain left side (R10.22), Pelvic and perineal pain bilateral (R10.23), and Suprapubic pain (R10.24).Subcategory R10.A, Pain localized to flank, was created to specifically capture flank pain: Flank pain, unspecified side (R10.A0), Flank pain, right side (R10.A1), Flank...
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Article Overview
This article covers recent ICD-10-CM changes affecting abdominal, pelvic, perineal, suprapubic, flank, and multi-site abdominal pain. It is aimed at coding professionals and clinical documentation staff who need to understand the scope of the revised category structure and related guidance for reporting pain diagnoses.
Why This Topic Matters
Accurate pain diagnosis reporting depends on understanding how new and expanded ICD-10-CM categories separate more specific pain locations. The article helps readers recognize what changed and where related documentation guidance applies.
Article Sections
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ICD-10-CM category R10 updates
Introduces changes to the abdominal and pelvic pain category and explains the purpose of the updates at a high level.
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Expanded pelvic and perineal pain subcategory
Summarizes the expansion of the pelvic and perineal pain subcategory into more specific laterality-based options and suprapubic pain.
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New flank pain subcategory
Describes the addition of a dedicated flank pain subcategory with laterality-specific options.
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Abdominal pain of multiple sites
Notes the creation of a category for pain involving multiple abdominal sites.
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Emergency department coding example
Presents a short coding scenario involving flank and abdominal pain and references accompanying documentation guidance.
What You Will Learn
- How recent ICD-10-CM changes affect abdominal and pelvic pain reporting
- Which broad pain categories were expanded or newly created
- How laterality and anatomic location are being organized in the updated structure
- What type of documentation scenario is used to illustrate the revised pain categories
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement staff
- Emergency department coding staff
- Billing and compliance teams
Codes Discussed
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