Right lower quadrant rebound abdominal tenderness
ICD-10 R10.823 is a billable code used to indicate a diagnosis of right lower quadrant rebound abdominal tenderness.
Right lower quadrant rebound abdominal tenderness is a clinical sign indicative of peritoneal irritation, often associated with acute abdominal conditions. This sign is elicited during a physical examination when the examiner applies pressure to the right lower quadrant and then suddenly releases it, causing pain upon release. This response suggests underlying inflammation or irritation of the peritoneum, commonly seen in conditions such as appendicitis, diverticulitis, or ectopic pregnancy. The presence of rebound tenderness is a critical component of the abdominal examination and can guide further diagnostic evaluation and management. It is essential to correlate this finding with the patient's history, other physical examination findings, and laboratory results to arrive at a comprehensive diagnosis. Abnormal clinical findings may include localized tenderness, guarding, and rigidity in the abdomen, which can further support the diagnosis of acute abdominal pathology. Laboratory findings may reveal leukocytosis or elevated inflammatory markers, depending on the underlying cause.
Detailed documentation of the physical examination, including the presence of rebound tenderness, associated symptoms, and any relevant history.
Patients presenting with abdominal pain, fever, and nausea, requiring evaluation for appendicitis or other acute abdominal conditions.
Consideration of chronic conditions that may mimic acute presentations, requiring careful documentation of the timeline of symptoms.
Thorough documentation of the patient's presentation, including vital signs, physical exam findings, and any immediate interventions.
Patients with acute abdominal pain requiring rapid assessment for surgical intervention.
Rapid decision-making in emergency settings necessitates clear and concise documentation to support coding.
Used when a patient presents with acute abdominal pain and rebound tenderness.
Document the level of service, including history, examination, and medical decision-making.
Emergency medicine providers should ensure thorough documentation to support the level of service billed.
Rebound tenderness is a clinical sign indicating potential peritoneal irritation, often associated with acute abdominal conditions that may require surgical intervention.
