Epigastric abdominal rigidity
ICD-10 R19.36 is a billable code used to indicate a diagnosis of epigastric abdominal rigidity.
Epigastric abdominal rigidity refers to a state of increased tension or stiffness in the abdominal muscles located in the epigastric region, which is situated between the rib cage and the navel. This rigidity can be a sign of underlying pathology, often indicating irritation or inflammation of the abdominal organs. Common causes include acute pancreatitis, peptic ulcer disease, or peritonitis. Patients may present with associated symptoms such as abdominal pain, tenderness, and changes in bowel habits. The rigidity may be assessed during a physical examination, where the clinician palpates the abdomen to determine the presence of involuntary muscle contraction. Laboratory findings may include elevated white blood cell counts or imaging studies that reveal organ inflammation or obstruction. Accurate diagnosis is crucial, as epigastric rigidity can signify serious conditions requiring immediate medical intervention.
Detailed documentation of the patient's history, physical examination findings, and any diagnostic tests performed.
Patients presenting with abdominal pain and rigidity, often requiring differential diagnosis to rule out serious conditions.
Ensure that all associated symptoms are documented to support the diagnosis and justify the use of R19.36.
Acute care documentation must include time of onset, severity of symptoms, and any immediate interventions taken.
Patients with acute abdominal pain and rigidity presenting to the emergency department, often requiring rapid assessment and intervention.
Consider the urgency of the condition and document any life-threatening diagnoses that may be ruled out.
Used when a patient presents with epigastric rigidity and requires moderate medical decision-making.
Document the patient's presenting symptoms, examination findings, and any diagnostic tests performed.
Emergency medicine providers should ensure that the urgency of the condition is clearly documented.
Documentation should include a clear description of the rigidity, associated symptoms, physical examination findings, and any relevant diagnostic tests performed.
