ICD-10 Coding for Suprapubic Abdominal Pain(R10.30, R10.84)
Complete ICD-10-CM coding and documentation guide for Suprapubic Abdominal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Suprapubic Abdominal Pain
R10.30-R10.84Primary Range
Codes for abdominal pain, unspecified and generalized
These codes are used for documenting abdominal pain, including suprapubic pain, when no specific diagnosis is available.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R10.30 | Lower abdominal pain, unspecified | Use when the pain is localized to the suprapubic region without a more specific diagnosis. |
|
| R10.84 | Generalized abdominal pain | Use when the pain is generalized but includes the suprapubic area. |
|
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 suprapubic abdominal pain
Essential facts and insights about Suprapubic Abdominal Pain
Primary ICD-10-CM Codes for suprapubic abdominal pain
Decision Criteria
documentation Criteria
- Pain documented as 'suprapubic' or 'above pubic symphysis'.
Applicable To
- Localized suprapubic pain without definitive diagnosis
Clinical Validation Requirements
- Documentation of pain location as suprapubic
- Physical exam findings of tenderness in the suprapubic region
Code-Specific Risks
- Risk of under-documentation if the location is not specified.
Coding Notes
- Ensure documentation specifies 'suprapubic' to justify the use of R10.30.
R10.84 - Generalized abdominal pain
Use when the pain is generalized but includes the suprapubic area.
Applicable To
- Diffuse abdominal pain with suprapubic emphasis
Excludes
- Localized abdominal pain (R10.3 series)
Clinical Validation Requirements
- Documentation of generalized pain with emphasis on the suprapubic region.
Coding Notes
Use only when pain cannot be localized to a specific quadrant.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Urinary tract infection, site not specified
N39.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Suprapubic Abdominal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.30.
Impact
Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Use detailed templates for documenting pain., Educate clinicians on the importance of specificity.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines for specificity., Data Quality: Decreased data quality due to lack of precise coding.
Mitigation Strategy
Ensure documentation specifies the location as suprapubic to use R10.30.
Impact
Audits may focus on the specificity of pain location in documentation.
Mitigation Strategy
Ensure all documentation specifies the exact location of pain.
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 Suprapubic Abdominal Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Suprapubic Abdominal Pain
Use these documentation templates to ensure complete and accurate documentation for Suprapubic Abdominal Pain. These templates include all required elements for proper coding and billing.
Suprapubic pain with suspected UTI
Specialty: UrologyRequired Elements
- Location of pain
- Quality and severity
- Associated symptoms
- Physical exam findings
- Diagnostic test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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