Left upper quadrant rebound abdominal tenderness
ICD-10 R10.822 is a billable code used to indicate a diagnosis of left upper quadrant rebound abdominal tenderness.
Left upper quadrant rebound abdominal tenderness is a clinical sign indicative of peritoneal irritation, often associated with underlying abdominal pathology. This symptom is characterized by pain that is elicited when pressure is applied to the abdomen and then suddenly released, leading to a sharp increase in pain. It is commonly evaluated during a physical examination and can suggest serious conditions such as splenic rupture, pancreatitis, or gastrointestinal perforation. The presence of rebound tenderness in the left upper quadrant may also indicate issues with adjacent organs, including the stomach, left kidney, or colon. Clinicians often assess this sign in conjunction with other symptoms such as guarding, rigidity, and localized pain to determine the need for further diagnostic imaging or surgical intervention. Accurate identification and documentation of rebound tenderness are crucial for guiding treatment decisions and ensuring appropriate coding for reimbursement.
Detailed documentation of the physical examination findings, including the presence of rebound tenderness and associated symptoms.
Patients presenting with abdominal pain, suspected pancreatitis, or splenic issues.
Consideration of comorbidities that may affect abdominal pain presentation.
Acute care documentation must include time-sensitive assessments and interventions related to abdominal pain.
Patients with acute abdominal pain requiring immediate evaluation for possible surgical intervention.
Rapid assessment and documentation are critical due to the potential for life-threatening conditions.
Used when a patient presents with rebound tenderness and requires moderate complexity evaluation.
Document the history, examination findings, and medical decision-making.
Emergency medicine providers should ensure timely documentation due to the acute nature of presentations.
Rebound tenderness is a clinical sign that indicates potential peritoneal irritation, often requiring further evaluation to rule out serious conditions such as perforation or hemorrhage.
