ICD-10 Coding for General Abdominal Pain(R10.84)
Complete ICD-10-CM coding and documentation guide for General Abdominal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to General Abdominal Pain
R10.0-R10.9Primary Range
Codes for abdominal and pelvic pain
This range includes codes for various types of abdominal pain, including generalized and localized pain.
Key Information: ICD-10 code for general abdominal pain
Essential facts and insights about General Abdominal Pain
Primary ICD-10-CM Code for general abdominal pain
Decision Criteria
clinical Criteria
- Pain is diffuse and non-localized
coding Criteria
- No specific diagnosis is available
documentation Criteria
- Negative imaging and normal labs
Applicable To
- Diffuse abdominal pain
Excludes
- Acute abdomen (R10.0)
Clinical Validation Requirements
- Documentation of non-localized pain
- Negative imaging results
- Normal lab findings
Code-Specific Risks
- Using R10.84 when a more specific diagnosis is available
- Not following Excludes1 note with R10.0
Coding Notes
- Ensure documentation specifies the non-localized nature of the pain and excludes acute abdomen.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute abdomen
R10.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting General Abdominal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.84.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific descriptors for pain, Document diagnostic test results
Impact
Reimbursement: May lead to lower reimbursement if a more specific code is applicable., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure thorough diagnostic workup to identify specific conditions.
Impact
Risk of audit if R10.84 is used without proper documentation.
Mitigation Strategy
Ensure thorough documentation of pain characteristics and diagnostic results.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for General Abdominal Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for General Abdominal Pain
Use these documentation templates to ensure complete and accurate documentation for General Abdominal Pain. These templates include all required elements for proper coding and billing.
Patient with non-specific abdominal pain
Specialty: General PracticeRequired Elements
- Pain location
- Pain severity
- Associated symptoms
- Diagnostic findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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