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2025 ICD-10-CM code R10.826

Epigastric rebound abdominal tenderness

Code R10.826 should be used when epigastric rebound tenderness is a presenting symptom, and a more definitive diagnosis has not yet been established. If a specific underlying condition is identified, the code for that condition should be reported as the primary diagnosis, with R10.826 possibly used as a secondary code if the tenderness is a significant clinical finding.

Epigastric rebound tenderness is often indicative of an underlying abdominal pathology. Medical necessity is established by the need to evaluate and diagnose the cause of this symptom. Further investigations, such as imaging studies or laboratory tests, might be necessary to determine the appropriate course of treatment.

In simple words: Rebound tenderness in the upper middle part of your belly (above your navel and below your breastbone)

Epigastric rebound abdominal tenderness is a symptom characterized by pain in the upper middle region of the abdomen that worsens upon the release of pressure applied to the area.

Example 1: A 25-year-old male presents to the emergency room complaining of severe abdominal pain, nausea, and vomiting. Upon examination, he exhibits rebound tenderness in the epigastric region. Further investigation reveals acute appendicitis., A 40-year-old female reports to her physician with persistent upper abdominal discomfort and bloating. Physical examination reveals epigastric rebound tenderness, leading to a diagnosis of peptic ulcer disease., A 60-year-old male experiences sudden onset of sharp epigastric pain. The physician observes rebound tenderness during palpation, which, combined with other findings, raises suspicion of pancreatitis.

Detailed documentation of the location, character, and timing of the abdominal tenderness, including the presence or absence of rebound tenderness. Record any associated symptoms like nausea, vomiting, fever, etc. Document any diagnostic tests performed (e.g., CT scan, ultrasound), and the results, to further elucidate the cause of the tenderness.

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