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
Myalgia
Muscle pain, including the groin area.
Abdominal and pelvic pain
Localized pain in the right groin could fall under this category.
Female pelvic inflammatory disease
Right groin pain may be a symptom in some female pelvic conditions.
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?
When to use each related code
Description |
---|
Right groin pain |
Right inguinal hernia |
Right hip osteoarthritis |
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.
Failing to document laterality (right or left) for groin pain may result in claims rejections or downcoding. Specificity is crucial for accurate reimbursement.
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.
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].