R10.33 Periumbilical pain

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 R10.3 Pain localized to other parts of lower 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)

• 789.05 Abdominal pain, periumbilic

Code annotations containing back-references to R10.33

Back-references to R10.3

• 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 other parts of lower abdomen (R10.3-)")
• Type 2 Excludes: R10.81 Abdominal tenderness ("pain localized to other parts of lower abdomen (R10.3-)")
• Type 2 Excludes: R10.82 Rebound abdominal tenderness ("pain localized to other parts of lower abdomen (R10.3-)")
• 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 other parts of lower abdomen (R10.3-)")

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 R10.33

• Pain (s) › abdominal › lower › periumbilical

Nearby codes

• 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
• R10.33 Periumbilical pain (this code)
• R10.8 Other abdominal pain
• R10.81 Abdominal tenderness
• R10.811 Right upper quadrant abdominal tenderness
• R10.812 Left upper quadrant abdominal tenderness
• R10.813 Right lower quadrant abdominal tenderness