Abdominal rigidity, unspecified site
ICD-10 R19.30 is a billable code used to indicate a diagnosis of abdominal rigidity, unspecified site.
Abdominal rigidity is a clinical sign characterized by involuntary muscle contraction in the abdominal wall, leading to a stiffened abdomen. This rigidity can be a response to various underlying conditions, often indicating irritation or inflammation of the peritoneum. It is commonly assessed during a physical examination, where the clinician notes the resistance to palpation. Abdominal rigidity can be associated with acute abdominal conditions such as appendicitis, peritonitis, or bowel obstruction. It may also arise from less acute issues like pancreatitis or diverticulitis. The absence of a specified site in this code indicates that the rigidity is generalized rather than localized, which can complicate the diagnostic process. Clinicians must consider the patient's history, presenting symptoms, and any accompanying signs to determine the underlying cause. Laboratory tests, imaging studies, and further clinical evaluation are often necessary to establish a definitive diagnosis and guide treatment.
Detailed patient history, physical examination findings, and any diagnostic tests performed must be documented to support the diagnosis of abdominal rigidity.
Patients presenting with abdominal pain, fever, and rigidity may indicate an acute abdomen requiring further evaluation.
Consideration of comorbid conditions that may contribute to abdominal rigidity is essential for accurate coding.
Acute care documentation must include time of onset, associated symptoms, and any immediate interventions performed.
Patients presenting with acute abdominal pain and rigidity may require rapid assessment and intervention.
Emergency settings may necessitate expedited documentation to ensure accurate coding and billing.
Used when a patient presents with abdominal rigidity and requires moderate complexity evaluation.
Document the patient's presenting symptoms, examination findings, and any diagnostic tests performed.
Emergency medicine providers should ensure timely documentation to support the visit level.
Use R19.30 when abdominal rigidity is observed but not specified to a particular site, and ensure that the clinical documentation supports this diagnosis.
Common causes include peritonitis, appendicitis, bowel obstruction, pancreatitis, and diverticulitis, among others.
