R10.2Pelvic and perineal pain

R10.2 is the ICD-10-CM diagnosis code for pelvic and perineal pain. It belongs to category R10 (abdominal and pelvic pain), block R10-R19 (symptoms and signs involving the digestive system and abdomen) and chapter 18 (symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified). It is a header code, so it can't be reported by itself; one of its 5 subcodes must be used instead.

Within R10 (abdominal and pelvic pain), R10.2 is specifically for pelvic and perineal pain. Related codes cover acute abdomen (R10.0), pain localized to upper abdomen (R10.1), pain localized to other parts of lower abdomen (R10.3), other abdominal pain (R10.8), unspecified abdominal pain (R10.9) and pain localized to flank (R10.A).

To report this condition, pick the subcode that matches the documentation: R10.20 (unspecified side), R10.21 (right side), R10.22 (left side), R10.23 (bilateral) and R10.24 (pain).

Don't report R10.2 together with the conditions in its Excludes1 note: vulvodynia (N94.81).

The conditions in its Excludes2 note aren't part of R10.2, but may be coded alongside it if the patient has both: pain localized to other parts of lower abdomen (R10.3-) and pain localized to upper abdomen (R10.1-).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2026 (expanded into subcodes).

Before ICD-10, this condition was coded in ICD-9-CM as 608.9 (unspecified disorder of male genital organs), 625.9 (unspecified symptom associated with female genital organs) and 789.09 (abdominal pain, other specified site).