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Home/Diagnosis/ICD-10 Coding for Low Abdominal Pain

ICD-10 Coding for Low Abdominal Pain

R10.31
R10.32
R10.33

Complete ICD-10-CM coding and documentation guide for icd-10 coding for low abdominal pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lower Abdominal Pain
Pelvic Pain
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Key Information: ICD-10 Coding for Low Abdominal Pain

Essential facts and insights about ICD-10 Coding for Low Abdominal Pain

Use ICD-10 code R10.31 for right lower quadrant pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Right lower quadrant pain

Billable Code
R10.31
Billable

Diagnostic Criteria

  • • Presence of RLQ tenderness and elevated WBC.

Applicable To

  • • Pain in right lower quadrant

Important Notes

  • • Ensure documentation specifies the quadrant and any associated symptoms.

Left lower quadrant pain

Billable Code
R10.32
Billable

Diagnostic Criteria

  • • Palpable mass
  • • Hematochezia

Applicable To

  • • Pain in left lower quadrant

Important Notes

  • • Document specific location and any associated gastrointestinal symptoms.

Periumbilical pain

Billable Code
R10.33
Billable

Diagnostic Criteria

  • • Pain worsens with coughing
  • • Guarding

Applicable To

  • • Pain around the umbilicus

Important Notes

  • • Ensure documentation specifies the location and any associated symptoms.

Lower abdominal pain, unspecified

Billable Code
R10.30
Billable

Diagnostic Criteria

  • • Generalized lower abdominal pain without specific quadrant localization.

Applicable To

  • • Unspecified lower abdominal pain

Important Notes

  • • Use only when pain cannot be localized to a specific quadrant.
Ancillary Codes

Additional codes that may be used with this diagnosis

N94.89

Pelvic pain

Use when pelvic pain is documented alongside RLQ pain.

K59.00

Constipation

Use when constipation is documented alongside LLQ pain.

R19.7

Diarrhea

Use when diarrhea is documented alongside periumbilical pain.

Frequently Asked Questions

What is the ICD-10 code for low abdominal pain?

The ICD-10 code for low abdominal pain varies by location: R10.31 for right lower quadrant, R10.32 for left lower quadrant, and R10.33 for periumbilical pain.

How do you document low abdominal pain?

Document the specific quadrant, quality, and associated symptoms of the pain to ensure accurate coding and clinical management.

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