patstrubberg
Guest
When audting the physician states no CV tenderness (costovertebral angle). Using 1997 audting sheet what bullet (if any) woiuld you assign for this? Thanks. Pat:
I would count that as the 3rd bullet in GI.
Examination for presence or absence of hernia.
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I'm not sure that I understand how you get examination for presence or absence of hernia for CVA tenderness as defined below............
Kidney punch or CVA Tenderness is elicited when gently tapping the area of the back overlying the kidney producing pain in people with an infection around the kidney (perinephric abscess) or pyelonephritis or renal stone. Since the kidney lies directly below this area, known as the costovertebral angle, tapping disturbs the inflamed tissue causing pain.
Angie Finnigan, CCS-P, CPMA, CPC
It's odd that there's not really a bullet for this - I guess the closest I'd get is with Examination of abdomen, with notation of masses or tenderness. Kidneys are technically in the abdominal cavity, and I don't see anything else that really fits...