Left lower quadrant abdominal rigidity
ICD-10 R19.34 is a billable code used to indicate a diagnosis of left lower quadrant abdominal rigidity.
Left lower quadrant abdominal rigidity is a clinical sign characterized by involuntary muscle contraction in the left lower abdominal area, often indicating underlying pathology. This rigidity can be a response to inflammation, irritation, or other pathological processes affecting the abdominal organs, such as the intestines, kidneys, or reproductive organs. Common causes include diverticulitis, appendicitis, renal colic, or gynecological conditions like ectopic pregnancy. The presence of rigidity may suggest peritoneal irritation, which can be a sign of serious conditions requiring immediate medical attention. Clinicians often assess this sign during a physical examination, noting the degree of rigidity and associated symptoms such as pain, tenderness, or distension. Laboratory findings may include elevated white blood cell counts or imaging studies revealing abnormalities in the abdominal organs. Accurate identification and documentation of this sign are crucial for appropriate diagnosis and treatment planning.
Detailed documentation of the physical examination, including the degree of rigidity, associated symptoms, and any relevant history.
Patients presenting with abdominal pain, fever, and rigidity suggestive of diverticulitis or other intra-abdominal pathology.
Consideration of comorbid conditions that may complicate the clinical picture.
Acute care documentation must include time of presentation, vital signs, and a thorough assessment of abdominal findings.
Patients with acute abdominal pain and rigidity requiring immediate intervention.
Rapid assessment and documentation are critical due to the potential for surgical emergencies.
Used when a patient presents with abdominal rigidity and requires moderate medical decision-making.
Document the patient's history, examination findings, and any diagnostic tests performed.
Emergency medicine providers should ensure timely documentation due to the acute nature of presentations.
R19.34 should be used when there is documented evidence of left lower quadrant abdominal rigidity, linked to a clinical diagnosis.
R19.34 should not be used as a primary diagnosis unless it is clearly linked to a specific underlying condition.
