ICDcodes.org
FY2027

R10.811 — Right upper quadrant abdominal tenderness

Billable

Is R10.811 billable?

Yes — R10.811 is billable for FY2027. R10.811 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R10.811 may be submitted for encounters from October 1, 2026 through September 30, 2027.

R10.811 at a glance

CodeR10.811
DescriptionRight upper quadrant abdominal tenderness
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does R10.811 group to?

R10.811 sits in MDC 06 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 391Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCCmedical
  • 392Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCCmedical

How is R10.811 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to R10.811. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Tenderness, abdominal › right upper quadrant

Excludes1 — never code together — inherited from R10

The conditions below can never be reported together with R10.811 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • renal colic (N23)

Excludes2 — not included here — inherited from Chapter 18

The conditions below are not part of R10.811, but a patient may have both at the same time. When documentation supports it, R10.811 and the excluded code may both be reported.

  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Excludes2 — not included here — inherited from R10-R19

The conditions below are not part of R10.811, but a patient may have both at the same time. When documentation supports it, R10.811 and the excluded code may both be reported.

  • 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)

Excludes2 — not included here — inherited from R10

The conditions below are not part of R10.811, but a patient may have both at the same time. When documentation supports it, R10.811 and the excluded code may both be reported.

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

Excludes2 — not included here — inherited from R10.81

The conditions below are not part of R10.811, but a patient may have both at the same time. When documentation supports it, R10.811 and the excluded code may both be reported.

  • pain localized to other parts of lower abdomen (R10.3-)
  • pain localized to upper abdomen (R10.1-)

How long has R10.811 existed?

R10.811 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to R10.811?

What other codes are in the R10.81 family? (7)