2025 ICD-10-CM code R10.12
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Symptoms, signs and abnormal clinical and laboratory findings - Symptoms and signs involving the digestive system and abdomen Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Left upper quadrant pain.
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.
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R10-R19 (Symptoms and signs involving the digestive system and abdomen)
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.
- Payment Status: Active
- Specialties:Emergency Medicine, Gastroenterology, Cardiology
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital