R10.23 Pelvic and perineal pain bilateral

Billable ICD-10-CM code, FY2026.

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 R10.2 Pelvic and perineal pain

Excludes1 (never code together)

• vulvodynia (N94.81)

Excludes2 (not included here)

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

MS-DRG index

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

Code annotations containing back-references to R10.23

Back-references to R10.2

• Type 2 Excludes: G89 Pain, not elsewhere classified ("pelvic and perineal pain (R10.2-)")
• Code Also: N85.A Isthmocele ("pelvic and perineal pain (R10.2-)")
• Type 1 Excludes: R10.0 Acute abdomen ("localized abdominal pain (R10.1-R10.3-)")
• Type 2 Excludes: R10.1 Pain localized to upper abdomen ("pelvic and perineal pain (R10.2-)")
• Type 2 Excludes: R10.3 Pain localized to other parts of lower abdomen ("pelvic and perineal pain (R10.2-)")
• Type 1 Excludes: R10.85 Abdominal pain of multiple sites ("localized abdominal pain (R10.1-R10.4-)")
• Type 1 Excludes: R52 Pain, unspecified ("pelvic and perineal pain (R10.2-)")

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 R10.23

• Neuralgia, neuralgic (acute) › perineum › bilateral
• Neuralgia, neuralgic (acute) › pubic region › bilateral
• Pain (s) › abdominal › lower › pelvic or perineal › bilateral
• Pain (s) › pelvic (female) › bilateral
• Pain (s) › perineal, perineum › bilateral

Nearby codes

• R10.13 Epigastric pain
• 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 (this code)
• R10.24 Suprapubic 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