ICD-10 code R10. 31 for Right lower quadrant pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10-CM Code for Lower abdominal pain, unspecified R10. 30.
ICD-10-CM Code for Left lower quadrant pain R10. 32.
ICD-10 code N39. 0 for Urinary tract infection, site not specified is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
The etiology of RLQ pain is most commonly related to disease processes such as infection, inflammation, perforation, obstruction, neoplasia, vascular events, etc. affecting the underlying intra-abdominal organs in this anatomic location.
84.
ICD-10 code R10 for Abdominal and pelvic pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
R10. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Abdominal pain diagnosis General: possibly appendicitis, urinary tract infection, Crohn's disease or irritable bowel syndrome. Lower abdomen: possibly appendicitis, ectopic pregnancy, diverticulitis or inflammation of the fallopian tubes (salpingitis)
0: Urinary tract infection, site not specified.
ICD-10 Code for Personal history of urinary (tract) infections- Z87. 440- Codify by AAPC.
9: Fever, unspecified.
Urinary Tract infection (UTI) is a very common infectious disease occurs commonly in aged women. As age goes up there will be structural changes happening in kidney. Muscles in the bladder, urethra and ureter become weaken. Urinary retention gets increased in the bladder and this creates an environment for bacterial growth.
Infection can happen in any part of the urinary tract – kidney, ureter, bladder or urethra. It is called as Cystitis, Urethritis and Pyelonephritis based on the site.
Avoid coding unspecified UTI (N39.0) when specific site infection is mentioned. For example if both cystitis and UTI are mentioned it is not necessary to code UTI, instead code only cystitis. Urosepsis – This does not lead to any code in the alphabetic index.
Patients may complain of one or multiple symptoms which include fever, dysuria, hematuria, incontinence, decreased urine output, pain in abdomen or back, nausea, vomiting or diarrhea. Physician does a thorough physical examination and takes clinical history of the patient.
Urethritis. It is not necessary to mention the infectious agent when using ICD N39.0. If the infectious organism is mentioned, place the UTI code primary and organism secondary. Site specified infection should be coded to the particular site. For example, Infection to bladder to be coded as cystitis, infection to urethra to urethritis.
Andrea is a 50-year-old woman coming to emergency room for pain when urinating and burning sensation. She does feel lower back pain from 3 weeks. She never had any urinary problems earlier. She is a diabetic patient and takes insulin daily. Physical examination shows abdominal tenderness. Pelvic examination is normal. No signs of vaginitis or cervicitis found. Urinalysis is done based on the examination. After reviewing the results the case was diagnosed as UTI.
For example if a physician orders a CT scan of the abdomen, the order should specifically mention if the CT scan is done for a generalized abdominal pain or pain in the right upper quadrant, right lower quadrant, left upper quadrant, left lower quadrant, epigastric or periumbilical regions.
A 52-year-old female presents to the clinic with severe epigastric abdominal pain associated with nausea and vomiting. She rates the pain as 7-8/10 on the pain scale. She describes the pain as constant. The patient reports eating fried Turkey at her friend’s birthday party, 3 days ago.
Year end is round the corner and with festivals and celebrations lined up, one of the common symptoms that you will come across in the medical records will be “Abdominal pain”.