Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 ICD-10-CM code R10.12

Left upper quadrant pain.

Code R10.12 should be used only when no other specific diagnosis can be made after complete investigation.If a definitive diagnosis is established, the appropriate code should be used instead.

Medical necessity is established when the left upper quadrant pain is assessed to require further investigation due to its severity, chronicity, or association with other concerning symptoms, thereby warranting diagnostic and treatment interventions.

The clinical responsibility involves a thorough examination, diagnostic testing (e.g., blood tests, imaging studies, endoscopy), and potentially referral to specialists to determine the underlying cause of the left upper quadrant pain.

IMPORTANT:This code should not be used if a more specific diagnosis is available.Consider other ICD-10 codes related to the specific organ or system involved (e.g., codes for cardiac issues if the pain is cardiac-related, or gallbladder issues if the pain stems from gallbladder problems).

In simple words: Pain in the upper left side of the stomach area.

Left upper quadrant pain represents pain experienced in the left upper region of the abdomen.This is a symptom, not a diagnosis, and requires further investigation to determine the underlying cause.

Example 1: A 55-year-old male presents to the emergency room complaining of severe left upper quadrant pain that started suddenly.Initial assessment reveals elevated heart rate and blood pressure.Further investigation reveals a myocardial infarction (heart attack)., A 30-year-old female reports chronic left upper quadrant pain associated with nausea and vomiting.Diagnostic tests point towards pancreatitis., A 70-year-old patient experiences persistent left upper quadrant pain after a recent splenectomy.The pain is attributed to post-surgical inflammation.

Detailed description of the pain (location, onset, character, duration, severity, radiation, aggravating factors, relieving factors), complete physical examination, relevant laboratory tests (e.g., complete blood count, liver function tests), imaging studies (e.g., ultrasound, CT scan), and any specialist consultations.

** The left upper quadrant pain can be caused by a wide range of conditions affecting various organs in this region, including the stomach, spleen, pancreas, and left lobe of the liver. Accurate coding depends on a thorough clinical evaluation and diagnostic workup. This code is used when a specific diagnosis cannot be established.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.