Generalized abdominal rigidity
ICD-10 R19.37 is a billable code used to indicate a diagnosis of generalized abdominal rigidity.
Generalized abdominal rigidity is a clinical sign characterized by a stiffening of the abdominal muscles, which can indicate underlying pathology. This rigidity may be a response to inflammation, irritation, or injury in the abdominal cavity. It is often assessed during a physical examination, where the clinician notes the resistance to palpation of the abdomen. Common causes include acute abdominal conditions such as appendicitis, peritonitis, or bowel obstruction. The presence of generalized abdominal rigidity can suggest a serious underlying condition requiring immediate medical attention. It is important to differentiate this sign from localized rigidity, which may indicate a more specific issue. Laboratory findings may include elevated white blood cell counts or imaging studies revealing free air or fluid in the abdomen. The clinical context is crucial, as generalized abdominal rigidity often accompanies other symptoms such as pain, tenderness, and changes in bowel habits, necessitating a thorough diagnostic approach to identify the underlying cause.
Detailed physical examination notes, including the assessment of abdominal rigidity and associated symptoms.
Patients presenting with abdominal pain, fever, and rigidity suggestive of appendicitis or diverticulitis.
Ensure that the documentation clearly indicates the presence of generalized rigidity and correlates it with the patient's overall clinical picture.
Acute care documentation must include vital signs, a thorough abdominal exam, and any immediate interventions performed.
Patients with acute abdomen presenting with rigidity, requiring rapid assessment for conditions like perforated viscus or acute pancreatitis.
Document the time of onset of symptoms and any changes in the patient's condition during the emergency visit.
Used when a patient presents with generalized abdominal rigidity and requires a high level of care.
Document the severity of symptoms, examination findings, and any interventions performed.
Emergency medicine providers should ensure that all findings are clearly documented to support the level of service billed.
R19.37 should be used when a patient presents with generalized abdominal rigidity as a symptom, and it is documented in the clinical findings. It is important to link this code to an underlying diagnosis whenever possible.
