Right upper quadrant abdominal swelling, mass and lump
ICD-10 R19.01 is a billable code used to indicate a diagnosis of right upper quadrant abdominal swelling, mass and lump.
R19.01 refers to the clinical finding of swelling, mass, or lump specifically located in the right upper quadrant (RUQ) of the abdomen. This area encompasses the liver, gallbladder, right kidney, and portions of the small and large intestines. The presence of a mass or swelling can indicate a variety of underlying conditions, including benign tumors, cysts, or more serious pathologies such as malignancies or infections. Symptoms accompanying RUQ swelling may include pain, tenderness, jaundice, or changes in bowel habits. Clinical evaluation often involves physical examination, imaging studies such as ultrasound or CT scans, and laboratory tests to assess liver function and rule out infections. Accurate diagnosis is crucial, as the management and treatment options vary significantly based on the underlying cause of the mass or swelling.
Thorough documentation of patient history, physical examination findings, and any imaging or lab results that support the diagnosis.
Patients presenting with RUQ pain and swelling, often requiring further evaluation for liver disease or gallbladder pathology.
Consideration of chronic conditions such as liver cirrhosis or gallstones that may contribute to RUQ masses.
Detailed acute care documentation including vital signs, pain assessment, and immediate interventions.
Patients with acute RUQ pain and swelling, potentially indicating acute cholecystitis or liver abscess.
Rapid assessment and documentation are crucial for timely intervention and management.
Used to evaluate RUQ swelling or mass.
Document indication for ultrasound and findings.
Ensure that the ultrasound report correlates with the clinical findings.
Documentation should include a detailed description of the mass or swelling, associated symptoms, results of imaging studies, and any relevant laboratory findings.