ICD-10-CM Billable Code

R10.823

Right lower quadrant rebound abdominal tenderness

Clinical Classification Guidelines

Medical Intelligence & Overview

Rebound tenderness in the right lower quadrant of the abdomen is an important clinical sign that medical professionals often assess when a patient presents with abdominal pain. The ICD-10 code R10.823 specifically refers to this tenderness, which can indicate various underlying conditions. Recognizing and understanding this symptom is vital for proper diagnosis and management of abdominal issues.

Causes & Symptoms

Clinical Causes: Appendicitis Crohn's disease Ovarian cysts or torsion (in females) Ectopic pregnancy Pelvic inflammatory disease Meckel's diverticulitis Infections such as appendiceal abscess Gastrointestinal conditions causing inflammation

Key Symptoms: Localized abdominal pain in the right lower quadrant Rebound tenderness when pressure applied and quickly released Possible nausea and vomiting Fever or chills if infection is present Swelling or palpable mass in the area Difficulty moving due to pain Loss of appetite Signs of systemic illness like tiredness or malaise

Diagnostic & Treatment

Diagnosis Path: The process begins with a detailed medical history and physical examination. During the exam, the healthcare provider applies gentle pressure to the affected area and observes for rebound tenderness, which suggests inflammation or irritation of the peritoneum. Additional diagnostic steps may include blood tests to detect infection or inflammation, urine analysis, and imaging studies such as ultrasound or CT scan to identify specific conditions like appendicitis or ovarian cysts.

Treatment Protocols: Treatment varies depending on the underlying cause identified through diagnostic evaluation. Common interventions include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is R10.823 a billable ICD-10 code?
Yes, R10.823 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report R10.823?
Clinical documentation must specify the nature of Right lower quadrant rebound abdominal tenderness and any associated comorbidities for accurate reporting.

Cite this Clinical Reference