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v1.0.0
ICD-10 Guide
ICD-10 CodesR10.827

R10.827

Generalized rebound abdominal tenderness

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R10.827 is a billable code used to indicate a diagnosis of generalized rebound abdominal tenderness.

Key Diagnostic Point:

Generalized rebound abdominal tenderness is a clinical sign indicating peritoneal irritation, often associated with acute abdominal conditions. This sign is elicited during a physical examination when a clinician applies pressure to the abdomen and then quickly releases it, resulting in pain upon release. This pain suggests underlying inflammation or irritation of the peritoneum, which can be due to various causes, including appendicitis, perforated viscus, or pancreatitis. The presence of rebound tenderness is a critical finding in the assessment of acute abdominal pain and can guide further diagnostic evaluation and management. It is essential to differentiate rebound tenderness from localized tenderness, as the former typically indicates a more serious underlying condition requiring urgent intervention. Clinicians must consider the patient's history, associated symptoms, and laboratory findings to arrive at a comprehensive diagnosis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of abdominal anatomy and pathology.
  • Differentiation from other types of abdominal tenderness.
  • Need for comprehensive documentation of clinical findings.
  • Potential overlap with other abdominal codes.

Audit Risk Factors

  • Inadequate documentation of physical examination findings.
  • Failure to correlate symptoms with diagnostic tests.
  • Misinterpretation of rebound tenderness as localized tenderness.
  • Inconsistent coding practices across providers.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed documentation of the physical examination, including the presence and severity of rebound tenderness, associated symptoms, and any relevant history.

Common Clinical Scenarios

Patients presenting with acute abdominal pain, suspected appendicitis, or diverticulitis.

Billing Considerations

Consideration of comorbidities that may complicate the clinical picture.

Emergency Medicine

Documentation Requirements

Thorough documentation of the patient's presenting symptoms, physical examination findings, and any immediate interventions performed.

Common Clinical Scenarios

Acute presentations of abdominal pain requiring rapid assessment and intervention.

Billing Considerations

Timeliness of documentation is crucial in emergency settings to ensure accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use R10.827 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with appropriate clinical documentation that supports the diagnosis of generalized rebound abdominal tenderness

Exclusion Criteria

Do NOT use R10.827 When
No specific exclusions found.

Related CPT Codes

99283CPT Code

Emergency department visit, moderate complexity

Clinical Scenario

Used when a patient presents with generalized rebound tenderness and requires further evaluation.

Documentation Requirements

Document the patient's history, physical examination findings, and any diagnostic tests ordered.

Specialty Considerations

Emergency medicine providers should ensure timely documentation to support the complexity of care provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like rebound tenderness, improving the accuracy of clinical documentation and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like rebound tenderness, improving the accuracy of clinical documentation and billing.

Reimbursement & Billing Impact

billing.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of rebound tenderness?

Rebound tenderness is a critical sign of peritoneal irritation, often indicating serious underlying conditions such as appendicitis or perforation, necessitating further evaluation.