Rebound abdominal tenderness, unspecified site
ICD-10 R10.829 is a billable code used to indicate a diagnosis of rebound abdominal tenderness, unspecified site.
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 a clinician applies pressure to the abdomen and then suddenly releases it, resulting in pain upon release. The presence of rebound tenderness suggests underlying issues such as appendicitis, perforated viscus, or other inflammatory processes within the abdominal cavity. It is crucial to note that rebound tenderness is a subjective finding and should be interpreted in conjunction with other clinical signs and symptoms, such as guarding, rigidity, and localized pain. The unspecified site designation indicates that the tenderness is not localized to a specific quadrant or area of the abdomen, which may complicate the diagnostic process. Accurate identification and documentation of rebound tenderness are essential for guiding further diagnostic imaging and management strategies.
Detailed documentation of the physical examination findings, including the presence of rebound tenderness and associated symptoms.
Patients presenting with abdominal pain, suspected appendicitis, or diverticulitis.
Consideration of comorbidities that may complicate the clinical picture.
Acute care documentation must include a thorough assessment of abdominal tenderness and any immediate interventions.
Acute abdominal pain presentations requiring rapid assessment and intervention.
Timeliness of documentation is critical in emergency settings to ensure appropriate coding and billing.
Used when a patient presents with rebound tenderness and requires further evaluation.
Document the patient's history, physical exam findings, and any diagnostic tests performed.
Emergency medicine providers should ensure timely and accurate documentation to support the visit level.
Rebound abdominal tenderness is a clinical sign indicating irritation of the peritoneum, often assessed during a physical examination. It is characterized by pain upon the release of pressure on the abdomen.
R10.829 should be used when rebound tenderness is noted during a physical examination and the specific site of tenderness is not documented or is unspecified.
