Suprapubic tenderness

This code signifies the presence of pain or discomfort upon palpation of the suprapubic region, the area just above the pubic bone. It indicates a localized symptom rather than a specific diagnosis, often pointing to underlying conditions affecting the bladder, uterus, or lower abdominal structures.

Use this code when the provider documents "suprapubic tenderness" as a finding during physical examination, without a definitive diagnosis yet established for the underlying cause. It is appropriate for initial encounters or when the tenderness is the primary symptom being investigated. Documentation should clearly state the presence and location of the tenderness.

• Do not use this code if a definitive diagnosis explaining the tenderness (e.g., cystitis, pelvic inflammatory disease) has been established; instead, code the specific condition.
• This code represents a symptom, not a diagnosis. It should often be followed by codes for further investigation or definitive diagnoses once known.
• Ensure the medical record explicitly states "suprapubic tenderness" to support the use of this code.