3/9/2023 0 Comments Icd 10 code for abdominal pain![]() ![]() The new coding system for abdominal pain under ICD-10 assigns R10.0 for acute abdominal pain/severe abdominal pain or R10.2 for pelvic/perineal pain in both males and females. ICD-10 requires a higher degree of specificity to correctly code abdominal pain. ![]() Adrian enters a diagnosis of “acute abdomen, acute appendicitis with rupture and peritonitis.” General surgery is consulted and the patient is consented for emergent appendectomy.ĭr. The patient is treated with antibiotics, IV morphine and ondansetron, and 1-liter of normal saline IV. A pregnancy test and urinalysis are negative.Ī CT scan of the abdomen is obtained, which reveals “Acute Appendicitis with evidence of perforation” according to the radiologist. The comprehensive metabolic panel does not reveal any further abnormalities. Laboratory was obtained and the complete blood count reveals a leukocytosis at 18,000. The remainder of the cardiovascular, pulmonary, neurologic and extremity examinations are remarkable only for mild tachycardia. Adrian notes pronounced tenderness in the right lower quadrant, associated with positive rebound tenderness and voluntary guarding, but no flank tenderness. Physical Examination: she is noted to be in obvious discomfort.Ībdomen: She reluctantly allows palpation of her abdomen, which is noted to be mildly distended and diffusely tender. She reports subjective fevers at home as well as anorexia. She denies dysuria, vaginal bleeding, change in bowel movements, nausea or vomiting. In the lobby she is pulling up her shirt because of 2-days of diffuse abdominal pain that has worsened in the previous 4-hours and has now localized to the RLQ. A 25yo female arrives at the hospital with a chief complaint of abdominal pain. ![]()
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