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

ICD-10 Coding for Right Lower Abdominal Pain

R10.31
K35.2

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

Also Known as:
Right Lower Quadrant Pain
RLQ Pain
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Key Information: ICD-10 Coding for Right Lower Abdominal Pain

Essential facts and insights about ICD-10 Coding for Right Lower 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

clinical:
  • • Presence of sharp, localized pain in the RLQ
documentation:
  • • Documented rebound tenderness

Applicable To

  • • Localized pain in the right lower quadrant

Important Notes

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

Acute appendicitis with localized peritonitis

Non-Billable
K35.2
Non-Billable

Diagnostic Criteria

clinical:
  • • CT scan showing appendiceal dilation
  • • Elevated WBC count

Applicable To

  • • Confirmed appendicitis with imaging

Important Notes

  • • Do not use R10.31 if appendicitis is confirmed.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.811

Right lower quadrant tenderness

Use alongside R10.31 if tenderness is documented.

R10.821

Right lower quadrant rebound tenderness

Use alongside R10.31 if rebound tenderness is documented.

Frequently Asked Questions

What is the ICD-10 code for right lower abdominal pain?

The ICD-10 code for right lower abdominal pain is R10.31, used when pain is localized to the right lower quadrant without a definitive diagnosis.

When should R10.31 be used?

R10.31 should be used when a patient presents with localized pain in the right lower quadrant and no definitive diagnosis is made.

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