Left lower quadrant abdominal swelling, mass and lump
ICD-10 R19.04 is a billable code used to indicate a diagnosis of left lower quadrant abdominal swelling, mass and lump.
R19.04 refers to the clinical presentation of swelling, mass, or lump specifically located in the left lower quadrant of the abdomen. This symptom can arise from various underlying conditions, including gastrointestinal, gynecological, or urological issues. Common causes include diverticulitis, ovarian cysts, hernias, and tumors. The swelling may be palpable and can vary in size and consistency. Patients may present with associated symptoms such as pain, changes in bowel habits, or urinary symptoms, depending on the underlying cause. Clinical evaluation often involves a thorough history and physical examination, imaging studies like ultrasound or CT scans, and possibly laboratory tests to identify any infectious or inflammatory processes. Accurate diagnosis is crucial as it guides appropriate management and treatment strategies.
Detailed history of present illness, physical exam findings, and any imaging or lab results.
Patients presenting with abdominal pain and swelling, requiring evaluation for possible diverticulitis or other gastrointestinal issues.
Ensure to document any associated symptoms and the rationale for imaging studies.
Acute care documentation including vital signs, immediate assessment findings, and any interventions performed.
Patients with acute abdominal pain and swelling, potentially indicating an emergency such as a ruptured cyst or diverticulitis.
Document the urgency of the situation and any immediate treatments provided.
Used when imaging is required to evaluate the mass or swelling.
Document the reason for the ultrasound and findings.
Ensure that the ultrasound report is included in the patient's medical record.
Use R19.04 when a patient presents with swelling, mass, or lump specifically in the left lower quadrant of the abdomen, and ensure that the documentation supports this diagnosis.
