Intercostal pain
ICD-10 R07.82 is a billable code used to indicate a diagnosis of intercostal pain.
Intercostal pain refers to discomfort or pain that occurs in the intercostal spaces, which are the areas between the ribs. This type of pain can arise from various underlying causes, including musculoskeletal issues, nerve irritation, or inflammation. Patients may describe the pain as sharp, stabbing, or aching, and it may worsen with movement, deep breathing, or coughing. Common causes include muscle strain, rib fractures, or conditions such as herpes zoster. In some cases, intercostal pain may be associated with more serious conditions like pulmonary embolism or myocardial infarction, necessitating a thorough evaluation. Clinical assessment typically involves a detailed history and physical examination, focusing on the location, quality, and triggers of the pain. Diagnostic imaging, such as X-rays or CT scans, may be warranted to rule out structural abnormalities. Laboratory tests may be performed to assess for underlying infections or inflammatory processes. Accurate documentation of the patient's symptoms, duration, and any associated findings is crucial for proper coding and management.
Detailed history of present illness, including onset, duration, and exacerbating factors; physical exam findings; and any relevant lab or imaging results.
Patients presenting with chronic intercostal pain due to musculoskeletal issues or post-viral syndromes.
Consideration of comorbidities that may complicate the diagnosis, such as COPD or prior thoracic surgery.
Acute care documentation must include a rapid assessment of pain characteristics, vital signs, and any immediate interventions.
Patients presenting with acute intercostal pain potentially due to trauma, pulmonary embolism, or myocardial infarction.
Rapid differentiation from life-threatening conditions is critical; thorough documentation of the decision-making process is essential.
Used for follow-up visits for patients with intercostal pain.
Document history, examination findings, and any treatment plans.
Internal medicine providers may see more chronic cases, while emergency medicine may focus on acute presentations.
Document the specific characteristics of the intercostal pain, including onset, duration, location, quality, and any associated symptoms. Include any relevant physical exam findings and diagnostic tests performed.
