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R10.2
ICD-10-CM
Right Groin Pain

Understanding right groin pain? Explore potential diagnoses, from inguinal hernias and muscle strains to kidney stones and appendicitis. This resource provides information on clinical documentation, medical coding (ICD-10 codes), differential diagnosis, and common symptoms associated with right lower quadrant pain for healthcare professionals and patients seeking answers. Learn about relevant anatomy, physical exam findings, and diagnostic tests for accurate evaluation and treatment of right groin pain.

Also known as

Right Inguinal Pain
Right Lower Quadrant Pain

Diagnosis Snapshot

Key Facts
  • Definition : Discomfort or pain in the area where the right leg meets the abdomen.
  • Clinical Signs : Tenderness, swelling, limited range of motion, pain with hip movement, or a palpable lump.
  • Common Settings : Sports injuries, muscle strains, hernia, hip joint problems, or referred pain.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC R10.2 Coding
M79.1

Myalgia

Muscle pain, including the groin area.

R10-R19

Abdominal and pelvic pain

Localized pain in the right groin could fall under this category.

N73.9

Female pelvic inflammatory disease

Right groin pain may be a symptom in some female pelvic conditions.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the groin pain related to a hernia?

  • Yes

    Is the hernia inguinal?

  • No

    Is there muscle strain/tear?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right groin pain
Right inguinal hernia
Right hip osteoarthritis

Documentation Best Practices

Documentation Checklist
  • Right groin pain: Onset, duration, character
  • Location and radiation of right groin pain
  • Aggravating and relieving factors documented
  • Associated symptoms: Nausea, fever, etc.
  • Physical exam: Palpation, ROM, tenderness

Coding and Audit Risks

Common Risks
  • Unspecified Groin Pain

    Coding R10.3 (Right Groin Pain) without further specificity when documentation supports a more precise diagnosis (e.g., hernia, strain) leads to inaccurate data and potential underpayment.

  • Lateralized Site Missing

    Failing to document laterality (right or left) for groin pain may result in claims rejections or downcoding. Specificity is crucial for accurate reimbursement.

  • Underlying Cause Missed

    Coding only the symptom (groin pain) without documenting and coding the underlying etiology (e.g., referred pain from kidney stone) impacts quality reporting and case mix index.

Mitigation Tips

Best Practices
  • Thorough HPI crucial for ICD-10 groin pain diagnosis coding accuracy.
  • Document pain onset, location, character for CDI, risk adjustment.
  • Review medical necessity guidelines for groin pain imaging, labs, procedures.
  • Differential diagnosis documentation supports compliant billing, reduces denials.
  • Query physician for pain etiology clarification to optimize HCC coding.

Clinical Decision Support

Checklist
  • Verify laterality: Right groin confirmed?
  • Inguinal hernia: Exam findings documented?
  • MSK vs. other: Differential diagnosis considered?
  • Testicular involvement: Exam/imaging noted?
  • Pain characteristics: Onset, type, radiation noted?

Reimbursement and Quality Metrics

Impact Summary
  • Right groin pain diagnosis reimbursement hinges on accurate ICD-10 coding (R10.2-R10.9) impacting physician revenue.
  • Coding quality directly affects hospital reporting for groin pain, influencing quality metrics and pay-for-performance incentives.
  • Specificity in groin pain documentation improves coding accuracy, minimizing claim denials and maximizing reimbursement.
  • Accurate groin pain diagnosis coding ensures proper resource allocation and data-driven decision-making for hospitals.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code groin pain laterality
  • R groin pain: Check MSK, hernia
  • Document pain onset, character
  • Rule out referred testicular pain
  • Inguinal hernia: specify type

Documentation Templates

Patient presents with right groin pain.  Onset, duration, character, aggravating factors, and relieving factors of the groin pain were explored.  Differential diagnosis includes inguinal hernia, muscle strain, hip joint pathology, referred pain from the lumbar spine, sports injury, and nerve impingement.  Patient reports [Onset - e.g., acute, gradual, insidious]. The pain is described as [Character - e.g., sharp, dull, aching, burning, throbbing].  The pain is [Severity - e.g., mild, moderate, severe] and is [Frequency - e.g., constant, intermittent].  Aggravating factors include [Activities - e.g., walking, running, lifting, coughing, sneezing]. Relieving factors include [Activities - e.g., rest, ice, heat, medication].  Physical examination revealed [Findings - e.g., tenderness to palpation in the right groin, positive or negative cough impulse, presence or absence of a palpable mass, range of motion of the right hip].  Assessment includes right groin pain, etiology to be determined.  Plan includes [Diagnostic tests - e.g., ultrasound of the right groin, X-ray of the hip and lumbar spine] and [Treatment plan - e.g., conservative management with rest, ice, compression, elevation, NSAIDs, referral to physical therapy, or surgical consultation if indicated].  Patient education provided regarding activity modification, pain management strategies, and follow-up care.  Return to clinic scheduled in [Duration - e.g., one week, two weeks].
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