ICD-10-CM 2027
ICD-10 code for vulva pain
From the official ICD-10-CM alphabetic index entry “Pain (s) › vulva”. Page updated September 29, 2026.
About coding vulva pain
The ICD-10-CM code for vulva pain is R10.20 (Pelvic and perineal pain unspecified side).
Within R10.2, choose R10.20 (unspecified side) only when documentation doesn't support a more specific option: right side (R10.21), left side (R10.22), bilateral (R10.23) and suprapubic pain (R10.24).
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 vulva pain ICD-10 codes
What is the ICD-10 code for vulva pain?
- R10.20 — Pelvic and perineal pain unspecified side.
Is R10.20 billable?
- Yes. R10.20 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can R10.20 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict R10.20 as a principal diagnosis.
Is R10.20 a CC or MCC?
- No. R10.20 is neither a CC nor an MCC under MS-DRG v44.0.