N80.0 - Endometriosis of uterus

Clinical Definition

Acute appendicitis is an inflammation of the appendix characterized by sudden onset of pain, typically starting periumbilically and migrating to the right lower quadrant, accompanied by fever, nausea, and loss of appetite.

Documentation Requirements

• Acuity

  • Must specify "acute" vs chronic

  • Document duration of symptoms

• Location

  • Right lower quadrant pain migration pattern

  • Position of appendix if atypical

• Associated Conditions

  • Presence/absence of perforation

  • Presence/absence of peritonitis

  • Any gangrenous changes

• Diagnostic Criteria

  • WBC count

  • Imaging findings (CT/ultrasound)

  • Physical exam findings (McBurney's point tenderness)

  • Temperature documentation

Common Synonyms

• "Appendix attack"

• "Stomach infection"

• "Right side pain"

• "Belly button pain that moved"

Coding Conflicts

Excludes1:

• Appendicitis with peritonitis (K35.2-)

• Mesenteric lymphadenitis (I88.0)

Scribing.io Automation

The AI scribe actively monitors for:

• Pain migration patterns

• Key terms like "acute," "tender," "rebound"

• Vital signs including fever

• Lab values (elevated WBC)

• Imaging report terminology

• McBurney's point tenderness documentation
  The system automatically flags these elements for code validation and prompts for any missing required elements.