R10.2 – Pelvic and perineal pain

R10.2  – Pelvic and perineal pain

• R10.2 is a billable ICD-10-CM code used for reimbursement for the diagnosis of pelvic and perineal pain.
• This ICD-10-CM code is used to diagnose pelvic and perineal pain features in America. This code may differ internationally. 
• The code is valid until the end of the fiscal year of 2023. 
• This code’s umbrella category is “Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified” under “Symptoms and signs involving the digestive system and abdomen.”
• R10.2 is only used when there’s unknown or unavailable clinical information. 
• It’s recommended that this code not be used as a principal diagnosis unless necessary, as it is not definitive.

Yes, R10.2 is billable for insurance reimbursement purposes. 

Clinical Information

• Pelvic pain is the pain located in the pelvic bone, blade, colon, or usually the reproductive organs in the pelvic area. 
• Conditions that can cause pelvic pain are appendicitis, STDs, kidney infection, hernia, prostatitis, and other disorders in the bladder, intestines, nerves, pelvis, and testicles. Other conditions that may cause pelvic pain are specific to women, like menstrual cramps, ovarian cysts, ovulation, miscarriage, and endometriosis. 
• To determine which condition is causing pelvic pain, the patient must undergo questioning of medical history, a physical exam, and other tests like blood/urine, x-rays, MRI, laparoscopy, ultrasound, CT scan, etc. 
• Some symptoms of pelvic pain that need immediate attention are menstrual pain, vaginal bleeding, blood in urine/bowel movement, fever, pain in the hip/groin area, and constipation or diarrhea. 
• Treatment will also vary depending on the condition. Generally, it is treated with medications and antibiotics. Severe cases require procedures and surgery. 
• Perennial pain or perineum pain is the pain located in the area between the genitals and the anus. 
• Some conditions that may cause perineal pain are UTIs, painful bladder syndrome, injuries, abscesses, pelvic floor dysfunction, entrapment of the pudendal nerve, prostatitis, vulvodynia, and childbirth. 
• Symptoms may vary depending on the condition, but some are pain in the area, redness, abnormal urine or urination problems, fever, and foul smells. 
• To determine which of the condition is causing the patient’s symptoms, the patient must be interviewed for their medical history and undergo a medical exam as well as other tests like a blood test, urinalysis, and ultrasound. 
• Treatment will also differ, but generally, a patient will be encouraged to rest, and if the patient’s pain is too severe, take antibiotics or have a massage. 
• Regardless of age or gender, anyone is at risk of having pelvic and perineal pain, and risk factors will depend on how poor one’s health condition is. 

Synonyms Include:

• Acute pelvic pain
• Chronic pelvic pain without obvious pathology
• Chronic prostatitis
• Obstetric pain
• Pain in pelvis
• Pain of uterus
• Perianal pain

Other ICD-10 Codes Commonly Used for Pelvic Pain

• R10.30: Lower abdominal pain, unspecified
• R10.31: Right lower abdominal pain, unspecified
• R10.32: Left lower quadrant pain
• R10.33: Perumbilical pain
• R10.9: Unspecified abdominal pain