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v1.0.0
ICD-10 Guide
ICD-10 CodesR10.82

R10.82

Rebound abdominal tenderness

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R10.82 is a billable code used to indicate a diagnosis of rebound abdominal tenderness.

Key Diagnostic Point:

Rebound abdominal tenderness is a clinical sign indicative of peritoneal irritation, often associated with acute abdominal conditions. It is assessed during a physical examination when a clinician applies pressure to the abdomen and then quickly releases it. The presence of rebound tenderness suggests that the abdominal cavity is inflamed, which may be due to various underlying conditions such as appendicitis, pancreatitis, or perforated viscus. This sign is particularly significant in the evaluation of acute abdominal pain, as it can help differentiate between benign and serious causes of abdominal discomfort. The clinical context is crucial, as rebound tenderness is often accompanied by other signs such as guarding, rigidity, and localized pain. Laboratory findings may include elevated white blood cell counts or imaging results that indicate inflammation or obstruction. Accurate identification and documentation of rebound tenderness are essential for guiding further diagnostic and therapeutic interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires thorough physical examination skills to assess accurately.
  • Differentiation from other abdominal signs can be challenging.
  • Documentation must be precise to support the diagnosis.
  • May be associated with multiple underlying conditions requiring careful consideration.

Audit Risk Factors

  • Inadequate documentation of the physical examination findings.
  • Failure to correlate rebound tenderness with specific diagnoses.
  • Misuse of the code in non-acute settings.
  • Inconsistent reporting of associated symptoms.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of the physical examination findings, including the presence of rebound tenderness and associated symptoms.

Common Clinical Scenarios

Evaluation of patients presenting with acute abdominal pain, particularly in cases of suspected appendicitis or diverticulitis.

Billing Considerations

Consideration of the patient's history and other clinical signs to support the diagnosis.

Emergency Medicine

Documentation Requirements

Comprehensive documentation of the patient's presentation, including vital signs, physical examination findings, and any imaging or lab results.

Common Clinical Scenarios

Acute presentations of abdominal pain requiring immediate assessment and intervention.

Billing Considerations

Rapid assessment and documentation are critical in emergency settings to ensure timely diagnosis and treatment.

Coding Guidelines

Inclusion Criteria

Use R10.82 When
  • According to ICD
  • 10 coding guidelines, R10
  • 82 should be used when rebound tenderness is specifically noted during the examination and is relevant to the patient's presenting complaint
  • It is essential to document the clinical context and any associated findings

Exclusion Criteria

Do NOT use R10.82 When
No specific exclusions found.

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents with rebound tenderness and requires moderate complexity medical decision-making.

Documentation Requirements

Document the physical exam findings, including rebound tenderness, and the medical decision-making process.

Specialty Considerations

Emergency medicine documentation must be thorough to justify the level of service.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like rebound tenderness, improving the granularity of data for clinical research and quality improvement initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like rebound tenderness, improving the granularity of data for clinical research and quality improvement initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like rebound tenderness, improving the granularity of data for clinical research and quality improvement initiatives.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of rebound tenderness?

Rebound tenderness is a critical sign indicating potential peritoneal irritation, often necessitating further investigation for serious abdominal conditions.

How should rebound tenderness be documented?

Documentation should include the method of assessment, the presence of rebound tenderness, and any associated symptoms or findings.