Find information on Unspecified Abdominal Pain (R10.4) diagnosis, including clinical documentation tips, ICD-10 coding guidelines, and healthcare resources. Learn about differential diagnosis, symptoms, and medical billing best practices for abdominal pain NOS. Explore resources for physicians, clinicians, and medical coders seeking accurate and efficient documentation and coding for unspecified abdominal pain.
Also known as
Other and unspecified abdominal pain
Generalized or localized abdominal pain, not otherwise specified.
Localized abdominal pain
Pain localized to specific abdominal regions (e.g., upper, lower, right).
Other abdominal pain
Abdominal pain with other more specific associated symptoms.
Abdominal and pelvic pain
Encompasses various types of abdominal and pelvic pain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the abdominal pain generalized?
Yes
Any other symptoms?
No
Can pain location be specified (RUQ, LUQ, RLQ, LLQ)?
When to use each related code
Description |
---|
Unspecified abdominal pain |
Generalized abdominal pain |
Localized abdominal pain |
Patient presents with a chief complaint of abdominal pain, unspecified. Location of pain is ill-defined and the patient is unable to clearly articulate specific characteristics. Onset, duration, and character of the abdominal pain are vague. Associated symptoms may include general discomfort, nausea, or indigestion but are not consistently reported. Physical examination reveals no localized tenderness, rebound tenderness, guarding, or rigidity. Bowel sounds are present and normoactive. No palpable masses. Differential diagnosis includes functional abdominal pain, irritable bowel syndrome, non-specific abdominal pain, and other gastrointestinal disorders. Further investigation may be warranted depending on the persistence or worsening of symptoms. Current plan includes symptomatic treatment with over-the-counter analgesics and recommendations for dietary modifications. Patient education provided regarding red flag symptoms such as severe pain, bloody stools, and persistent vomiting, emphasizing the need for immediate medical attention should these develop. Follow-up scheduled as needed. ICD-10 code R10.4, Abdominal pain, unspecified, is documented for medical billing and coding purposes. This documentation supports evaluation and management coding based on complexity of medical decision making.