2019 ICD-10-CM Diagnosis Code R10.13

Epigastric pain

    2016 2017 2018 2019 Billable/Specific Code
  • R10.13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM R10.13 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of R10.13 - other international versions of ICD-10 R10.13 may differ.
Applicable To
  • Dyspepsia
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R10.13. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • functional dyspepsia (
    ICD-10-CM Diagnosis Code K30

    Functional dyspepsia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Indigestion
    Type 1 Excludes
    K30
    )
The following code(s) above R10.13 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R10.13:
  • R00-R99
    2019 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • 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)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R10-R19
    2019 ICD-10-CM Range R10-R19

    Symptoms and signs involving the digestive system and abdomen

    Type 2 Excludes
    • 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)
    Symptoms and signs involving the digestive system and abdomen
  • R10
    ICD-10-CM Diagnosis Code R10

    Abdominal and pelvic pain

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • renal colic (N23)
    Type 2 Excludes
    • dorsalgia (M54.-)
    • flatulence and related conditions (R14.-)
    Abdominal and pelvic pain
Approximate Synonyms
  • Abdominal pain, epigastric
  • Dyspepsia (indigestion)
  • Indigestion
Clinical Information
  • A disorder characterized by an uncomfortable, often painful feeling in the stomach, resulting from impaired digestion. Symptoms include burning stomach, bloating, heartburn, nausea and vomiting.
  • An uncomfortable, often painful feeling in the stomach, resulting from impaired digestion. Symptoms include burning stomach pain, bloating, heartburn, nausea, and vomiting. Causes include gastritis, gastric ulcer, gastroesophageal reflux disease, pancreatic disease, and gallbladder disease.
  • Impaired digestion, especially after eating.
  • Nearly everyone has had indigestion at one time. It's a feeling of discomfort or a burning feeling in your upper abdomen. You may have heartburn or belch and feel bloated. You may also feel nauseated, or even throw up. You might get indigestion from eating too much or too fast, eating high-fat foods, or eating when you're stressed. Smoking, drinking too much alcohol, using some medicines, being tired, and having ongoing stress can also cause indigestion or make it worse. Sometimes the cause is a problem with the digestive tract, like an ulcer or gerd. Avoiding foods and situations that seem to cause it may help. Because indigestion can be a sign of a more serious problem, see your health care provider if it lasts for more than two weeks or if you have severe pain or other symptoms. Your health care provider may use x-rays, lab tests, and an upper endoscopy to diagnose the cause. You may need medicines to treat the symptoms.
  • Upset stomach.
ICD-10-CM R10.13 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
  • 392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

Convert R10.13 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to R10.13:
  • Type 1 Excludes: K30
    , R12
    ICD-10-CM Diagnosis Code K30

    Functional dyspepsia

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Indigestion
    Type 1 Excludes
    ICD-10-CM Diagnosis Code R12

    Heartburn

      2016 2017 2018 2019 Billable/Specific Code
    Type 1 Excludes
    • dyspepsia NOS (R10.13)
    • functional dyspepsia (K30)

Diagnosis Index entries containing back-references to R10.13:
  • Distress
    • epigastric R10.13
  • Dyspepsia R10.13
  • Pain(s) R52
    - see also Painful
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS
    Type 1 Excludes
    • acute and chronic pain, not elsewhere classified (G89.-)
    • localized pain, unspecified type - code to pain by site, such as:
    • abdomen pain (R10.-)
    • back pain (M54.9)
    • breast pain (N64.4)
    • chest pain (R07.1-R07.9)
    • ear pain (H92.0-)
    • eye pain (H57.1)
    • headache (R51)
    • joint pain (M25.5-)
    • limb pain (M79.6-)
    • lumbar region pain (M54.5)
    • pelvic and perineal pain (R10.2)
    • shoulder pain (M25.51-)
    • spine pain (M54.-)
    • throat pain (R07.0)
    • tongue pain (K14.6)
    • tooth pain (K08.8)
    • renal colic (N23)
    • pain disorders exclusively related to psychological factors (F45.41)
    • abdominal R10.9
      ICD-10-CM Diagnosis Code R10.9

      Unspecified abdominal pain

        2016 2017 2018 2019 Billable/Specific Code
      • upper R10.10
        ICD-10-CM Diagnosis Code R10.10

        Upper abdominal pain, unspecified

          2016 2017 2018 2019 Billable/Specific Code
        • epigastric R10.13
    • epigastric, epigastrium R10.13

ICD-10-CM Codes Adjacent To R10.13
R09.8 Other specified symptoms and signs involving the circulatory and respiratory systems
R09.81 Nasal congestion
R09.82 Postnasal drip
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
R10 Abdominal and pelvic pain
R10.0 Acute abdomen
R10.1 Pain localized to upper abdomen
R10.10 Upper abdominal pain, unspecified
R10.11 Right upper quadrant pain
R10.12 Left upper quadrant pain
R10.13 Epigastric pain
R10.2 Pelvic and perineal pain
R10.3 Pain localized to other parts of lower abdomen
R10.30 Lower abdominal pain, unspecified
R10.31 Right lower quadrant pain
R10.32 Left lower quadrant pain
R10.33 Periumbilical pain
R10.8 Other abdominal pain
R10.81 Abdominal tenderness
R10.811 Right upper quadrant abdominal tenderness
R10.812 Left upper quadrant abdominal tenderness

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.