ICD-10 Coding for Left Groin Pain(R10.812, S76.811A)
Complete ICD-10-CM coding and documentation guide for Left Groin Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Groin Pain
R10.30-R10.39Primary Range
Pain localized to other parts of lower abdomen
This range includes codes for pain in the lower abdomen, including the groin area.
Injury of muscle and tendon at hip and thigh level
This range covers injuries such as strains to the adductor muscles, which can cause groin pain.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R10.812 | Left lower quadrant abdominal pain | Use when the patient presents with left groin pain without a confirmed specific injury or condition. |
|
| S76.811A | Strain of left adductor muscle, initial encounter | Use when there is confirmed strain of the left adductor muscle, typically following an acute injury. |
|
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 left groin pain
Essential facts and insights about Left Groin Pain
Primary ICD-10-CM Codes for left groin pain
Decision Criteria
clinical Criteria
- Pain is localized to the left groin area without specific injury.
Applicable To
- Left groin pain without specific diagnosis
Excludes
- Pain due to confirmed injury or strain
Clinical Validation Requirements
- Documentation of pain location and characteristics
- Exclusion of specific injuries or conditions
Code-Specific Risks
- Risk of using unspecified codes leading to denials
Coding Notes
- Ensure documentation specifies the location and nature of the pain.
S76.811A - Strain of left adductor muscle, initial encounter
Use when there is confirmed strain of the left adductor muscle, typically following an acute injury.
Applicable To
- Acute strain of left adductor muscle
Excludes
- Chronic pain without specific injury
Clinical Validation Requirements
- Imaging confirmation of muscle strain
- Documentation of injury mechanism
Coding Notes
Ensure imaging and clinical findings support the diagnosis of strain.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Left lower quadrant tenderness
R10.814Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Groin Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.812.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Use detailed pain assessment templates., Include imaging and examination findings.
Impact
Reimbursement: Denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality and inaccurate clinical records.
Mitigation Strategy
Use R10.812 for left groin pain to avoid denials.
Impact
Risk of using unspecified codes when more specific options are available.
Mitigation Strategy
Ensure documentation supports the most specific code available.
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 Left Groin Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Groin Pain
Use these documentation templates to ensure complete and accurate documentation for Left Groin Pain. These templates include all required elements for proper coding and billing.
Acute left groin pain after sports injury
Specialty: Sports MedicineRequired Elements
- Pain location and characteristics
- Mechanism of injury
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Left Groin Pain? Ask your questions below.