Abdominal rigidity
ICD-10 R19.3 is a billable code used to indicate a diagnosis of abdominal rigidity.
Abdominal rigidity is a clinical sign characterized by involuntary muscle contraction in the abdominal wall, leading to a stiffened abdomen that may be palpated during a physical examination. This rigidity can indicate underlying pathology, often associated with acute abdominal conditions such as peritonitis, intestinal obstruction, or intra-abdominal hemorrhage. The presence of abdominal rigidity is typically assessed during a physical examination, where the clinician notes the degree of stiffness and any associated symptoms such as pain, tenderness, or distension. It is crucial to differentiate between voluntary guarding, where the patient tenses their abdominal muscles in response to pain, and involuntary rigidity, which suggests a more serious underlying condition. Common causes of abdominal rigidity include acute appendicitis, perforated viscus, pancreatitis, and diverticulitis. The diagnostic approach often involves imaging studies such as ultrasound or CT scans, alongside laboratory tests to identify any infectious or inflammatory processes. Accurate documentation of the clinical findings, associated symptoms, and any diagnostic tests performed is essential for proper coding and management of the patient's condition.
Detailed documentation of the patient's history, physical examination findings, and any diagnostic tests performed is essential. Include descriptions of abdominal tenderness, distension, and any associated symptoms.
Patients presenting with acute abdominal pain, suspected appendicitis, or diverticulitis.
Consider the patient's overall clinical picture and any comorbidities that may influence the diagnosis.
Acute care documentation must include time-sensitive assessments, vital signs, and immediate interventions taken. Document any imaging or lab results promptly.
Patients presenting with acute abdominal emergencies, such as perforated ulcers or bowel obstructions.
Rapid assessment and documentation are critical in emergency settings to ensure timely diagnosis and treatment.
Used when a patient presents with abdominal rigidity and requires moderate complexity evaluation.
Document the patient's history, physical examination findings, and any diagnostic tests performed.
Emergency medicine providers should ensure timely documentation to support the complexity of care.
Abdominal rigidity is a critical sign that may indicate serious underlying conditions requiring immediate medical attention, such as peritonitis or bowel obstruction.
