ICD-10 Coding for Right Inguinal Pain(R10.31, R10.813)
Complete ICD-10-CM coding and documentation guide for Right Inguinal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Inguinal Pain
R10.30-R10.33Primary Range
Pain localized to specific abdominal quadrants
This range includes codes for pain in specific abdominal regions, including the right inguinal area.
Pain, not elsewhere classified
These codes are used for pain management encounters and chronic pain conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R10.31 | Right lower quadrant pain | Use when the patient presents with pain localized to the right inguinal area without a definitive diagnosis. |
|
| R10.813 | Right lower quadrant abdominal tenderness | Use when tenderness is documented without rebound 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 right inguinal pain
Essential facts and insights about Right Inguinal Pain
Primary ICD-10-CM Codes for right inguinal pain
Decision Criteria
clinical Criteria
- Pain localized to the right inguinal canal, confirmed by physical exam and imaging.
coding Criteria
- Use R10.31 for pain without a definitive diagnosis.
documentation Criteria
- Document specific location and quality of pain.
Clinical Validation Requirements
- Positive cough test reproducing pain
- Imaging showing adductor tendinopathy
- Tenderness at Hesselbach's triangle
Code-Specific Risks
- Misclassification as pelvic pain
- Failure to specify laterality
Coding Notes
- Ensure documentation specifies 'right inguinal pain' and differentiates from tenderness.
R10.813 - Right lower quadrant abdominal tenderness
Use when tenderness is documented without rebound tenderness.
Applicable To
- Tenderness in the right lower quadrant
Excludes
- Rebound tenderness (R10.823)
Clinical Validation Requirements
- Physical exam showing tenderness without rebound
Coding Notes
Ensure documentation clearly states 'tenderness' and not 'pain'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute pain due to trauma
G89.11Differential 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 Right Inguinal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.31.
Impact
Clinical: Ambiguity in patient records, Regulatory: Non-compliance with coding guidelines, Financial: Potential for denied claims
Mitigation Strategy
Always specify 'right' or 'left' when documenting inguinal pain.
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Potential audit trigger, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use R10.31 with anatomical descriptor
Impact
Failure to specify laterality can lead to audits.
Mitigation Strategy
Ensure documentation always includes laterality.
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 Right Inguinal Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Inguinal Pain
Use these documentation templates to ensure complete and accurate documentation for Right Inguinal Pain. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- Location of pain
- Quality of pain
- Aggravating factors
- Physical exam findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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