ICD-10 Code for Tenderness
The ICD-10-CM code for tenderness is R10.819 — Abdominal tenderness, unspecified site. This is the code the Alphabetic Index gives for tenderness with no further qualifier, valid for FY2027 (October 1, 2026 – September 30, 2027).
R10.819 is billable but unspecified. If the documentation names a type, site or cause, one of the more specific codes below is likely expected.
Which tenderness code should you use?
The Alphabetic Index lists 24 codes under Tenderness, abdominal. Which one applies depends on the qualifier documented in the record — the type, site, cause, or associated condition. Find the qualifier below, then verify the code in the Tabular List before using it.
By type
| costovertebral | R39.859 | Costovertebral (angle) tenderness, unspecified side | |
| epigastric | R10.816 | Epigastric abdominal tenderness | |
| flank | R10.8A9 | Flank tenderness, unspecified | |
| generalized | R10.817 | Generalized abdominal tenderness | |
| left lower quadrant | R10.814 | Left lower quadrant abdominal tenderness | |
| left upper quadrant | R10.812 | Left upper quadrant abdominal tenderness | |
| periumbilic | R10.815 | Periumbilic abdominal tenderness | |
| right lower quadrant | R10.813 | Right lower quadrant abdominal tenderness | |
| right upper quadrant | R10.811 | Right upper quadrant abdominal tenderness | |
| rebound | R10.829 | Rebound abdominal tenderness, unspecified site | |
| suprapubic | R10.8A3 | Suprapubic tenderness |
Tenderness costovertebral
Tenderness rebound
| epigastric | R10.826 | Epigastric rebound abdominal tenderness | |
| generalized | R10.827 | Generalized rebound abdominal tenderness | |
| left lower quadrant | R10.824 | Left lower quadrant rebound abdominal tenderness | |
| left upper quadrant | R10.822 | Left upper quadrant rebound abdominal tenderness | |
| periumbilic | R10.825 | Periumbilic rebound abdominal tenderness | |
| right lower quadrant | R10.823 | Right lower quadrant rebound abdominal tenderness | |
| right upper quadrant | R10.821 | Right upper quadrant rebound abdominal tenderness |
Index terms and codes are reproduced from the official ICD-10-CM FY2027 release. The Alphabetic Index is a finding aid — a code must always be verified in the Tabular List before it is reported. Data sources