ICD-10-CM 2027
ICD-10 code for epigastric tenderness
From the official ICD-10-CM alphabetic index entry “Tenderness, abdominal › epigastric”. Page updated September 29, 2026.
About coding epigastric tenderness
The ICD-10-CM code for epigastric tenderness is R10.816 (Epigastric abdominal tenderness).
Within R10.81 (abdominal tenderness), R10.816 is specifically for epigastric abdominal tenderness. Related codes cover right upper quadrant abdominal tenderness (R10.811), left upper quadrant abdominal tenderness (R10.812), right lower quadrant abdominal tenderness (R10.813), left lower quadrant abdominal tenderness (R10.814), periumbilic abdominal tenderness (R10.815), generalized abdominal tenderness (R10.817) and unspecified site (R10.819).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC, relative weight 1.2392) and DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC, relative weight 0.7645), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
Common questions about epigastric tenderness ICD-10 codes
What is the ICD-10 code for epigastric tenderness?
- R10.816 — Epigastric abdominal tenderness.
Is R10.816 billable?
- Yes. R10.816 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can R10.816 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict R10.816 as a principal diagnosis.
Is R10.816 a CC or MCC?
- No. R10.816 is neither a CC nor an MCC under MS-DRG v44.0.