Lower abdominal pain, unspecified
ICD-10 R10.30 is a billable code used to indicate a diagnosis of lower abdominal pain, unspecified.
Lower abdominal pain, unspecified (ICD-10 code R10.30) refers to pain located in the lower abdomen without a specified cause. This symptom can arise from various underlying conditions affecting the gastrointestinal, urinary, reproductive, or musculoskeletal systems. Common causes include appendicitis, diverticulitis, urinary tract infections, ovarian cysts, and pelvic inflammatory disease. The pain may be acute or chronic and can vary in intensity. Patients may present with additional symptoms such as nausea, vomiting, changes in bowel habits, or urinary symptoms, which can aid in diagnosis. Clinical evaluation often involves a thorough history, physical examination, and may include imaging studies or laboratory tests to identify the underlying cause. Accurate coding requires careful documentation of the patient's symptoms and any relevant findings to ensure appropriate treatment and billing.
Detailed history of present illness, physical exam findings, and any diagnostic tests performed.
Patients presenting with vague abdominal pain, requiring further evaluation to rule out serious conditions.
Ensure that all relevant symptoms and findings are documented to support the diagnosis.
Acute care documentation including triage notes, vital signs, and any imaging or lab results.
Patients with acute abdominal pain requiring immediate assessment and intervention.
Document the acute nature of the pain and any immediate treatments provided.
Used when a patient presents with lower abdominal pain for evaluation.
Document the history, examination, and medical decision-making.
Ensure that the visit level reflects the complexity of the case.
Use R10.30 when lower abdominal pain is documented but the specific cause is not identified. Ensure that all relevant symptoms and findings are recorded.
