Pelvic and perineal pain bilateral

This diagnosis code signifies the presence of pain experienced in both sides of the pelvic and perineal regions. It indicates a symptom rather than a specific underlying disease, encompassing discomfort in the lower abdomen, groin, and the area between the genitals and anus.

Apply this code when documentation clearly specifies bilateral pelvic and perineal pain without a more specific definitive diagnosis. This is appropriate for initial evaluations of such pain or when the etiology remains undetermined after investigation. Supporting documentation should explicitly state the bilateral nature of the pain and its location.

• Always seek a more specific diagnosis if available; this code is for unspecified bilateral pain.
• Do not use if the pain is unilateral; refer to codes for right (R10.21) or left (R10.22) pelvic and perineal pain.
• Code any associated definitive diagnoses (e.g., endometriosis, prostatitis) in addition to or instead of this symptom code, depending on the payer and coding guidelines.