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

ICD-10 Coding for Right Abdominal Pain

R10.11
R10.31

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

Also Known as:
Right Abd Pain
Right-Sided Abdominal Pain
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Key Information: ICD-10 Coding for Right Abdominal Pain

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

Use ICD-10 code R10.11 for right upper quadrant pain, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Right upper quadrant pain

Billable Code
R10.11
Billable

Diagnostic Criteria

  • • Pain worsens after fatty meals
  • • Positive Murphy’s sign
  • • Elevated bilirubin levels

Applicable To

  • • Pain in the right upper quadrant of the abdomen

Important Notes

  • • Ensure documentation specifies right upper quadrant to avoid unspecified codes.

Right lower quadrant pain

Billable Code
R10.31
Billable

Diagnostic Criteria

  • • Migration of pain from periumbilical area
  • • Alvarado Score ≥7
  • • WBC count >10,000

Applicable To

  • • Pain in the right lower quadrant of the abdomen

Important Notes

  • • Ensure documentation specifies right lower quadrant to avoid unspecified codes.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.812

Rebound tenderness

Use to indicate severity of pain when rebound tenderness is present.

Frequently Asked Questions

What is the ICD-10 code for right upper quadrant pain?

The ICD-10 code for right upper quadrant pain is R10.11. It is used when pain is localized to the right upper quadrant with supporting clinical findings.

How do you code right lower quadrant pain?

Right lower quadrant pain is coded as R10.31 in ICD-10, used when pain is localized to the RLQ with clinical validation such as rebound tenderness.

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