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Home/Diagnosis/ICD-10 Coding for Acute Costovertebral Angle Tenderness

ICD-10 Coding for Acute Costovertebral Angle Tenderness

R10.9
N10
N20.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute costovertebral angle tenderness includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
CVA Tenderness
Flank Pain
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Key Information: ICD-10 Coding for Acute Costovertebral Angle Tenderness

Essential facts and insights about ICD-10 Coding for Acute Costovertebral Angle Tenderness

Use ICD-10 code R10.9 for unspecified abdominal pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified abdominal pain

Billable Code
R10.9
Billable

Diagnostic Criteria

clinical:
  • • Presence of flank pain without specific diagnosis
documentation:
  • • Lack of specific diagnosis such as pyelonephritis or kidney stones

Applicable To

  • • Flank pain
  • • CVA tenderness without specific diagnosis

Important Notes

  • • Ensure documentation specifies 'costovertebral angle tenderness' to avoid confusion with cerebrovascular accident.

Acute pyelonephritis

Billable Code
N10
Billable

Diagnostic Criteria

clinical:
  • • Fever >38°C
  • • Positive urine culture (≥10^5 CFU/mL)

Applicable To

  • • CVA tenderness with fever and positive urine culture

Important Notes

  • • Ensure documentation links CVA tenderness to pyelonephritis findings.

Calculus of kidney

Billable Code
N20.0
Billable

Diagnostic Criteria

clinical:
  • • CT imaging confirming kidney stone
  • • Presence of hematuria

Applicable To

  • • CVA tenderness with CT-confirmed kidney stone

Important Notes

  • • Ensure imaging confirms stone presence before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.2

Escherichia coli [E. coli] as the cause of diseases classified elsewhere

Use when E. coli is identified in urine culture.

Frequently Asked Questions

What is the ICD-10 code for acute costovertebral angle tenderness?

The ICD-10 code for acute costovertebral angle tenderness, when unspecified, is R10.9. For specific conditions like pyelonephritis or kidney stones, use N10 or N20.0 respectively.

How do you document CVA tenderness?

Document CVA tenderness by specifying laterality (left, right, bilateral) and associated symptoms like fever or dysuria. Use phrases like 'costovertebral angle tenderness on palpation'.

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