Left upper quadrant pain
ICD-10 R10.12 is a billable code used to indicate a diagnosis of left upper quadrant pain.
Left upper quadrant (LUQ) pain refers to discomfort or pain located in the upper left section of the abdomen, which can arise from various underlying conditions. This region houses several vital organs, including the stomach, spleen, left kidney, pancreas, and parts of the colon. Symptoms may vary from sharp, stabbing pain to dull, persistent discomfort. Patients may also report associated symptoms such as nausea, vomiting, fever, or changes in bowel habits. Common causes of LUQ pain include gastrointestinal issues like gastritis, peptic ulcers, or splenic disorders, as well as renal conditions such as nephrolithiasis. In some cases, LUQ pain may indicate more serious conditions like myocardial infarction or splenic rupture. A thorough clinical evaluation, including a detailed history and physical examination, is essential to determine the underlying cause. Diagnostic imaging, such as ultrasound or CT scans, may be warranted to assess the organs in this region. Laboratory tests may also be performed to evaluate for signs of infection or inflammation.
Comprehensive documentation of patient history, physical examination findings, and any diagnostic tests performed.
Patients presenting with LUQ pain due to gastritis, splenic issues, or renal colic.
Ensure that the documentation clearly outlines the assessment and management plan, including any referrals to specialists.
Detailed acute care documentation, including vital signs, pain assessment, and immediate interventions.
Patients with acute LUQ pain presenting with signs of splenic rupture or myocardial infarction.
Document the urgency of the situation and any life-saving measures taken.
Used when a patient presents with LUQ pain requiring moderate complexity evaluation.
Document the patient's history, examination findings, and any diagnostic tests performed.
Emergency medicine documentation should emphasize the acute nature of the visit.
Documentation should include a detailed history of the patient's symptoms, physical examination findings, any diagnostic imaging or lab results, and the assessment of potential underlying causes.
