R10.13 Epigastric pain

Billable ICD-10-CM code, FY2026.

Applicable to

• Dyspepsia

Excludes1 (never code together)

• functional dyspepsia (K30)

Applies from R10 Abdominal and pelvic pain

Excludes1 (never code together)

• renal colic (N23)

Excludes2 (not included here)

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

Applies from R10.1 Pain localized to upper abdomen

Excludes2 (not included here)

• pain localized to flank (R10.A-)
• pelvic and perineal pain (R10.2-)

MS-DRG index

Defines the logic of DRG(s) 391-392 in MDC 06.

Approximate ICD-9-CM (GEMs)

• 789.06 Abdominal pain, epigastric

Code annotations containing back-references to R10.13

Back-references to R10.13

• Type 1 Excludes: K30 Functional dyspepsia ("dyspepsia NOS (R10.13)")
• Type 1 Excludes: R12 Heartburn ("dyspepsia NOS (R10.13)")

Back-references to R10.1

• Type 1 Excludes: R10.0 Acute abdomen ("localized abdominal pain (R10.1-R10.3-)")
• Type 2 Excludes: R10.2 Pelvic and perineal pain ("pain localized to upper abdomen (R10.1-)")
• Type 2 Excludes: R10.81 Abdominal tenderness ("pain localized to upper abdomen (R10.1-)")
• Type 2 Excludes: R10.82 Rebound abdominal tenderness ("pain localized to upper abdomen (R10.1-)")
• Type 1 Excludes: R10.85 Abdominal pain of multiple sites ("localized abdominal pain (R10.1-R10.4-)")
• Type 2 Excludes: R10.A Pain localized to flank ("pain localized to upper abdomen (R10.1-)")

Back-references to R10

• Type 2 Excludes: G89 Pain, not elsewhere classified ("abdomen pain (R10.-)")
• Type 2 Excludes: R39.85 Costovertebral (angle) tenderness ("abdominal and pelvic pain (R10.-)")
• Type 1 Excludes: R52 Pain, unspecified ("abdomen pain (R10.-)")

Diagnosis Index entries for R10.13

• Distress › epigastric
• Dyspepsia
• Pain (s) › abdominal › upper › epigastric
• Pain (s) › epigastric, epigastrium

Nearby codes

• 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 (this code)
• R10.2 Pelvic and perineal pain
• R10.20 Pelvic and perineal pain unspecified side
• R10.21 Pelvic and perineal pain right side
• R10.22 Pelvic and perineal pain left side
• R10.23 Pelvic and perineal pain bilateral