Right lower quadrant abdominal tenderness

This code signifies localized pain or discomfort upon palpation in the lower right region of the abdomen. It is a symptom, not a definitive diagnosis, and often indicates an underlying issue within organs such as the appendix, right ovary, or distal ileum.

Apply this code when documentation explicitly states "right lower quadrant tenderness" without a more specific diagnosis established. This is commonly seen in emergency department visits or initial evaluations for conditions like suspected appendicitis, diverticulitis, or gynecological issues.

• Do not code this if a definitive diagnosis for the underlying cause of the tenderness is provided (e.g., acute appendicitis).
• Consider sequencing this code after any more specific abdominal pain codes if both are documented.
• Ensure the documentation clearly specifies "tenderness" and not just "pain" to support this code.