Wiki Acute abdominal pain in pregnancy - ICD 10

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Code: R10.2

Code Name: ICD-10 Code for Pelvic and perineal pain

Block: Pelvic and perineal pain

Excludes 1:vulvodynia (N94.81)

R10

Excludes1: renal colic (N23)

Excludes2: dorsalgia (M54.-)
flatulence and related conditions (R14.-)

Details: Symptoms and signs involving the digestive system and abdomen (R10-R19)

Excludes 2: congenital or infantile pylorospasm (Q40.0)
gastrointestinal hemorrhage (K92.0-K92.2)
intestinal obstruction (K56.-)
newborn gastrointestinal hemorrhage (P54.0-P54.3)
newborn intestinal obstruction (P76.-)
pylorospasm (K31.3)
signs and symptoms involving the urinary system (R30-R39)
symptoms referable to female genital organs (N94.-)
symptoms referable to male genital organs male (N48-N50)

Guidelines: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note: This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.


Excludes 2: abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

For more details on R10.2 , ICD-10 Code for Pelvic and perineal pain visit: https://coder.aapc.com/icd-10-codes/

calicoder10

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O99.89 Other diseases and conditions complicating pregnancy/childbirth
You would report the code for the site of the abdominal pain (RUQ, LUQ...)
Then the Z3A.x for the amount of weeks pregnant

carmenb
 

nram293

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incidental

I have a question regarding same scenario but the doc documents acute ab pain not due to pregnancy. Wouldn't this code to R10.9 unspecified ab pain and 2 dx z33.1 pregnant state incidental ?
I ask because I had this counted against me.
 

SeanFleming0373

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I have a question regarding same scenario but the doc documents acute ab pain not due to pregnancy. Wouldn't this code to R10.9 unspecified ab pain and 2 dx z33.1 pregnant state incidental ?
I ask because I had this counted against me.
According to the guidelines:

"Should the provider document that the pregnancy is incidental to the encounter, then code Z33.1, Pregnant state, incidental, should be used in place of any Chapter 15 codes. It is the provider's responsibility to state that the condition being treated is not affecting the pregnancy."

Since the doctor specifically documented the pain was not due to the pregnancy, I would code the pregnancy as incidental.
 

nram293

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According to the guidelines:

"Should the provider document that the pregnancy is incidental to the encounter, then code Z33.1, Pregnant state, incidental, should be used in place of any Chapter 15 codes. It is the provider's responsibility to state that the condition being treated is not affecting the pregnancy."

Since the doctor specifically documented the pain was not due to the pregnancy, I would code the pregnancy as incidental.

to add to this question . what would be the right diagnoses to assign if patient come in for ab pain but then after workup finale diagnosis by provider is pregnancy. what would be the final diagnosis?
 
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Hi, I have a question:
Patient was admitted in internal medicine for “Hematemesis after having food from outside” patient is 34 weeks pregnant. Internal medicine physician requested consultation from OBG . Ob Gyne physician has seen the patient she ordered CTG and ultrasound. There was no documentation from physician that Hematemesis is not affecting pregnancy.
Now my colleagues asking me to code Hematemesis &Z33.1 incidental pregnancy. But I wanted to code pregnancy complications because the word “incidental” doesn’t require any workup . Please advise.
 
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