This article continues our focus on diagnoses commonly reported in pediatrics and the elements of documentation that support code selection using International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). Although the transition to use of the ICD-10-CM code set has been delayed beyond the previously published date of October 1, 2014, to no earlier than October 1, 2015, it is important to take advantage of the extended opportunity to prepare for this pending transition.

This article focuses on the classification of abdominal and pelvic pain. These symptoms have often been reported with nonspecific International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes (eg, code 789.00 is reported for abdominal pain even though a specific site of pain has been identified), and it may be helpful to review the elements of documentation that support specific code selection for abdominal pain and tenderness.

Chapter 18 of ICD-10-CM includes codes R00...

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