ICD-10 Coding for History of Costovertebral Angle Tenderness(R10.819, Z87.440)
Complete ICD-10-CM coding and documentation guide for History of Costovertebral Angle Tenderness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Costovertebral Angle Tenderness
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R10.819 | Abdominal tenderness, unspecified site | For active CVA tenderness without specific quadrant localization. |
|
| Z87.440 | Personal history of diseases of the urinary system | For documenting resolved urinary conditions linked to past CVA tenderness. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of costovertebral angle tenderness
Essential facts and insights about History of Costovertebral Angle Tenderness
Primary ICD-10-CM Codes for history costovertebral angle
Decision Criteria
clinical Criteria
- Tenderness present without specific quadrant
Applicable To
- General abdominal tenderness
Excludes
- Specific quadrant tenderness
Clinical Validation Requirements
- Physical examination showing tenderness
- No specific quadrant identified
Code-Specific Risks
- Misuse for historical tenderness
Coding Notes
- Ensure documentation specifies the absence of quadrant specificity.
Z87.440 - Personal history of diseases of the urinary system
For documenting resolved urinary conditions linked to past CVA tenderness.
Applicable To
- History of urinary tract infections
- History of kidney stones
Excludes
- Current urinary system diseases
Clinical Validation Requirements
- Documented history of resolved urinary condition
- No current symptoms
Coding Notes
Ensure linkage to resolved urinary condition is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hydronephrosis with renal and ureteral calculous obstruction
N13.2Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Costovertebral Angle Tenderness to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.819.
Impact
Clinical: Lack of clarity on patient history., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Query provider for specific etiology and laterality., Ensure documentation includes resolved condition details.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient history recording.
Mitigation Strategy
Use Z87.440 for resolved conditions linked to past CVA tenderness.
Impact
Using symptom codes for historical conditions.
Mitigation Strategy
Ensure use of Z codes for resolved conditions.
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 History of Costovertebral Angle Tenderness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Costovertebral Angle Tenderness
Use these documentation templates to ensure complete and accurate documentation for History of Costovertebral Angle Tenderness. These templates include all required elements for proper coding and billing.
Follow-up for resolved pyelonephritis
Specialty: Primary CareRequired Elements
- Past condition details
- Resolution confirmation
- Current symptom status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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