ICD 9 Code for Abdominal PainICD 9 codes are useful in medical coding and billing to describe symptoms, injuries, and diseases.  The ICD 9 code for abdominal pain is 789.0. which is one of thousands of similar codes used in the healthcare system.  ICD 9 codes can be generalized if the cause of the abdominal pain is unknown or if the symptoms are vague.

The idea is to start at the root ICD 9 code of 789.0 and modify it according to any specificities that can be identified from gleaning information about the patient’s condition.  ICD 9 codes have largely been replaced by ICD 10 codes, which are a bit different.

The ICD 9 Code used for Abdominal Pain

As mentioned, the ICD 9 code for abdominal pain is 789.0 but this reflects just the baseline code and is often modified as there are specific characteristics of the abdominal pain that can further define the code used for abdominal pain.  The baseline ICD 9 code for abdominal pain is 789.0 and represents just “cramps, abdominal”, but most of the time the diagnosis is more specific than that.

For example, The ICD 9 code for an infant who has recurrent colicky abdominal pain is 789.7.  For simple cramping of the abdomen, the ICD 9 code is 729.82.  Any kind of abdominal distress, such as pain in the epigastric region or pain in the lower abdomen simply uses the ICD 9 code of 789.0.  Pain in the female pelvis uses the code 625.9 and pain in the mail pelvis uses the ICD 9 code of 307.89 if the pain is psychogenic and a code of 789.0 if the pain is non-psychogenic in nature.

Pain in the groin, the flank, the colon, the cecum, or in the general abdominal area uses the ICD 9 code of 789.0 without any modifiers.  Spasticity of the colon or any kind of spasmodic condition of the abdomen uses the ICD 9 cod of 781.0, while pain in the abdominal viscera is coded simply as 789.0. Migraine-related abdominal pain is coded under an ICD 9 code of 346.2 and abdominal pain due to muscle deficiency is coded with an ICD 9 code of 789.0.

ICD 10 Codes for Abdominal and Pelvic Pain

As mentioned, the ICD 9 codes have largely been replaced by thee more modern ICD 10 coding system.  This uses a completely different way of coding abdominal pain.  Type 1 abdominal pain that excludes renal colic is coded as N23, while type 2 abdominal pain that excludes dorsalgia is coded as M54.  The ICD 10 code for type 2 abdominal pain that excludes flatulence and related problems is coded as R14.

The baseline ICD 10 code for abdominal and pelvic pain is R10.  Like the ICD 9 codes, this baseline code can be modified depending on what other symptoms are present.  While the ICD 10 code for acute abdominal pain is R10.0, but pain that is localized to the upper abdomen is coded as R10.1 and pain in the right upper quadrant of the abdomen is coded as R10.11.  Pain localized in the left upper quadrant of the abdomen is coded as R10.12, while epigastric pain is coded through the ICD 10 system as R10.13.

There are different codes for pelvic and perineal pain.  For example, the baseline ICD 10 code for pelvic and perineal pain is R10.2, while pain localized to other aspects of the lower abdomen is coded as R10.3. Unspecified lower abdominal pain is coded with the ICD 10 system as R10.30, while right lower quadrant abdominal pain is coded as R10.31.  Left lower quadrant pain is coded under the ICD 10 system as R10.32.

This article, ICD 9 Code for Abdominal Pain, is for informational purpose only, if you have abdominal pain go see your doctor.