Right lower quadrant pain
ICD-10 R10.31 is a billable code used to indicate a diagnosis of right lower quadrant pain.
Right lower quadrant pain (RLQ pain) is a common clinical symptom that can arise from various underlying conditions affecting the abdominal organs located in this region, including the appendix, cecum, right ovary, and portions of the small and large intestines. Patients may present with acute or chronic pain, which can be sharp, dull, or cramp-like in nature. Associated symptoms may include nausea, vomiting, diarrhea, constipation, fever, and changes in appetite. The clinical evaluation often involves a thorough history and physical examination, focusing on the onset, duration, and character of the pain, as well as any accompanying symptoms. Laboratory tests, such as complete blood count (CBC) and urinalysis, may be performed to identify signs of infection or inflammation. Imaging studies, including ultrasound or CT scans, are frequently utilized to visualize the abdominal organs and assist in diagnosing conditions such as appendicitis, ovarian cysts, or diverticulitis. Accurate documentation of the patient's symptoms, clinical findings, and diagnostic tests is essential for proper coding and management.
Comprehensive history and physical examination, including detailed symptom description and any relevant lab results.
Patients presenting with RLQ pain due to conditions like appendicitis, diverticulitis, or gynecological issues.
Ensure that all relevant diagnostic tests and their results are documented to support the diagnosis.
Acute care documentation must include time of onset, severity of pain, and any immediate interventions performed.
Acute RLQ pain presentations, such as appendicitis or ruptured ovarian cysts, requiring rapid assessment and intervention.
Document all vital signs and any imaging studies performed to support the diagnosis and treatment plan.
Used for moderate complexity cases of RLQ pain requiring evaluation and management.
Document the patient's history, examination findings, and any diagnostic tests performed.
Emergency medicine providers should ensure that all acute findings are clearly documented.
R10.31 should be used when a patient presents with right lower quadrant pain without a specific diagnosis that can be coded. It is important to document the clinical findings and any diagnostic tests performed.
