Periumbilic abdominal rigidity
ICD-10 R19.35 is a billable code used to indicate a diagnosis of periumbilic abdominal rigidity.
Periumbilic abdominal rigidity refers to a clinical finding characterized by increased tension and firmness in the abdominal wall around the umbilicus (navel). This rigidity can be a sign of underlying pathology, often indicating irritation or inflammation of the peritoneum, which may occur due to various conditions such as appendicitis, diverticulitis, or peritonitis. Patients may present with accompanying symptoms such as abdominal pain, tenderness, and changes in bowel habits. The rigidity is typically assessed during a physical examination, where the clinician palpates the abdomen to evaluate for signs of guarding or rigidity. This finding is significant as it may suggest an acute abdomen requiring further diagnostic evaluation, including imaging studies or laboratory tests to identify the underlying cause. Proper documentation of the presence of periumbilic abdominal rigidity is crucial for accurate coding and to guide clinical management.
Detailed notes on abdominal examination findings, including location and severity of rigidity.
Patients presenting with abdominal pain and rigidity during routine evaluations or follow-ups.
Ensure that the clinical context is well documented to support the diagnosis and any associated conditions.
Acute care documentation must include time of onset, associated symptoms, and immediate interventions.
Patients with acute abdominal pain presenting to the emergency department with signs of rigidity.
Rapid assessment and documentation are critical due to the potential for surgical intervention.
Used when a patient presents with abdominal rigidity and requires moderate complexity medical decision-making.
Document the history, examination findings, and medical decision-making process.
Emergency medicine providers should ensure thorough documentation to support the level of service.
Periumbilic abdominal rigidity is a clinical sign that may indicate serious underlying conditions such as appendicitis or peritonitis. It requires careful evaluation and documentation to guide appropriate management.
