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ICD-10 Coding for Suprapubic Pain(R10.2, N39.0)

Complete ICD-10-CM coding and documentation guide for Suprapubic Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Pelvic PainLower Abdominal Pain

Related ICD-10 Code Ranges

Complete code families applicable to Suprapubic Pain

R10.2Primary Range

Pelvic and perineal pain

This range includes codes for pain specifically located in the pelvic and perineal regions, including suprapubic pain.

Lower abdominal pain, unspecified

Used when documentation lacks specificity for suprapubic pain.

Urinary tract infection, site not specified

Relevant when suprapubic pain is associated with a urinary tract infection.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R10.2Pelvic and perineal painUse when the pain is specifically documented as suprapubic.
  • Documentation of pain specifically in the suprapubic region
  • Associated urinary symptoms if applicable
N39.0Urinary tract infection, site not specifiedUse when suprapubic pain is associated with a confirmed UTI.
  • Positive urine culture or urinalysis indicating infection

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 pain

Essential facts and insights about Suprapubic Pain

The ICD-10 code for suprapubic pain is R10.2, which includes pelvic and perineal pain.

Primary ICD-10-CM Codes for suprapubic pain

Pelvic and perineal pain
Billable Code

Decision Criteria

documentation Criteria

  • Pain must be documented as 'suprapubic'.

Applicable To

  • Suprapubic pain

Excludes

  • Lower abdominal pain, unspecified (R10.30)

Clinical Validation Requirements

  • Documentation of pain specifically in the suprapubic region
  • Associated urinary symptoms if applicable

Code-Specific Risks

  • Misclassification if documentation does not specify 'suprapubic'.

Coding Notes

  • Ensure documentation specifies 'suprapubic' to avoid using R10.30.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Dysuria

R30.0
Use if urinary symptoms are present.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Lower abdominal pain, unspecified

R10.30
Use R10.30 when the pain is not specifically documented as suprapubic.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Suprapubic Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R10.2.

Impact

Clinical: May lead to incorrect diagnosis and treatment., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Train clinicians to document specific pain locations., Use templates that prompt for specific details.

Impact

Reimbursement: Incorrect coding may lead to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on patient conditions.

Mitigation Strategy

Ensure documentation specifies 'suprapubic' to use R10.2.

Impact

Audits may focus on whether 'suprapubic' is documented when using R10.2.

Mitigation Strategy

Ensure clinical documentation explicitly states 'suprapubic'.

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 Pain, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Suprapubic Pain

Use these documentation templates to ensure complete and accurate documentation for Suprapubic Pain. These templates include all required elements for proper coding and billing.

UTI with Suprapubic Pain

Specialty: Urology

Required Elements

  • Pain location
  • Urinary symptoms
  • Lab results

Example Documentation

Patient presents with severe suprapubic pain and dysuria. Urinalysis shows 50 WBC/hpf, positive leukocyte esterase. Diagnosed as UTI.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has abdominal pain and UTI.
Good Documentation Example
Severe suprapubic pain with dysuria. Urinalysis shows 50 WBC/hpf, positive leukocyte esterase. Diagnosed as UTI.
Explanation
The good example specifies the pain location and provides lab results supporting the UTI diagnosis.

Need help with ICD-10 coding for Suprapubic Pain? Ask your questions below.

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