Epigastric rebound abdominal tenderness

This code describes a specific type of abdominal pain characterized by tenderness in the epigastric region that worsens upon release of pressure. It is a sign of peritoneal irritation, often associated with inflammation of organs in the upper abdomen.

Use this code when documentation explicitly states "epigastric rebound tenderness" or similar findings indicating peritoneal irritation in the epigastric area. This is a significant finding in conditions like gastritis, peptic ulcer disease, or early appendicitis.

• Differentiate from generalized or localized non-rebound tenderness; the "rebound" aspect is key.
• Do not use for tenderness without the rebound characteristic; consider R10.13 for epigastric tenderness NOS.
• Always sequence after the definitive diagnosis for the underlying condition causing the tenderness, if known.