Periumbilic rebound abdominal tenderness
ICD-10 R10.825 is a billable code used to indicate a diagnosis of periumbilic rebound abdominal tenderness.
Periumbilic rebound abdominal tenderness is a clinical sign indicative of potential intra-abdominal pathology, often associated with peritoneal irritation. This sign is elicited during a physical examination when the clinician applies pressure to the abdomen and then quickly releases it. The presence of rebound tenderness suggests that there may be inflammation or irritation of the peritoneum, which can be due to various underlying conditions such as appendicitis, diverticulitis, or perforated viscera. Patients may present with abdominal pain, distension, and changes in bowel habits. The clinical context is critical, as rebound tenderness is often accompanied by other signs such as guarding or rigidity, which can help narrow down the differential diagnosis. Laboratory findings may include elevated white blood cell counts or imaging studies that reveal free air or fluid in the abdominal cavity. Accurate identification and documentation of this sign are essential for guiding further diagnostic evaluation and management.
Detailed documentation of the physical exam, including the presence of rebound tenderness and any associated symptoms.
Patients presenting with abdominal pain, suspected appendicitis, or diverticulitis.
Consideration of comorbid conditions that may complicate the clinical picture.
Acute care documentation must include time-sensitive assessments and findings related to rebound tenderness.
Acute abdomen presentations, trauma cases, or sudden onset of severe abdominal pain.
Rapid assessment and documentation are crucial for timely intervention.
Used when a patient presents with abdominal pain and rebound tenderness is documented.
Must include detailed examination findings and any diagnostic tests performed.
Emergency medicine documentation must be timely and thorough to support the level of service.
Rebound tenderness is a clinical sign that indicates potential peritoneal irritation, often requiring further diagnostic evaluation to determine the underlying cause.
