Periumbilical pain
ICD-10 R10.33 is a billable code used to indicate a diagnosis of periumbilical pain.
Periumbilical pain refers to discomfort or pain localized around the umbilicus (navel) area. This symptom can arise from various underlying conditions affecting the gastrointestinal tract, urinary system, or even referred pain from other regions. Common causes include appendicitis, intestinal obstruction, mesenteric ischemia, and gastrointestinal infections. Patients may describe the pain as sharp, dull, cramping, or constant, and it may be accompanied by other symptoms such as nausea, vomiting, diarrhea, or changes in bowel habits. Clinical evaluation often involves a thorough history and physical examination, focusing on the characteristics of the pain, associated symptoms, and any recent medical history. Laboratory tests, imaging studies, and sometimes endoscopic procedures may be necessary to determine the underlying cause. Accurate coding of periumbilical pain requires careful documentation of the patient's symptoms, clinical findings, and any diagnostic tests performed.
Detailed history of present illness, including onset, duration, and characteristics of pain, as well as associated symptoms.
Patients presenting with chronic abdominal pain, gastrointestinal disturbances, or unexplained weight loss.
Consideration of comorbid conditions that may contribute to abdominal pain, such as diabetes or inflammatory bowel disease.
Acute care documentation including vital signs, immediate assessment findings, and any interventions performed.
Patients presenting with acute abdominal pain, potential surgical emergencies, or severe symptoms requiring rapid evaluation.
Rapid assessment and documentation of pain severity and associated symptoms are critical for appropriate coding and treatment.
Used for follow-up visits for patients with chronic periumbilical pain.
Document history, examination findings, and any management plans.
Internal medicine may require more detailed chronic disease management documentation.
Common causes include appendicitis, intestinal obstruction, mesenteric ischemia, and gastrointestinal infections. Each cause may present with different associated symptoms and require specific diagnostic approaches.
