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2. Nov 11, 2011. #5. not to be too harsh here on the previous responders, but this is why coders need a strong clinical understanding. CVA tenderness is a medical term for costovertebral angle tenderness, theprovider taps the area of the back over the kidneys to see if the patient has a positive reaction to aid in diagnosis renal disorders.
CVA tenderness is a sign elicited on exam (you basically bang your fist at the CV angle and the patient reports pain). Flank pain is reported by the patient and is a symptom. The cause can be kidney issues (generally infection or stone) but could be musculoskeletal or even referred pain from scary things like a retroperitoneal bleed etc.
Mar 4, 2008. #1. This was the determining factor in the level of service I was auditing. The provider argues that this statement should count towards the GU portion of the exam because they were looking for tenderness in the kidneys after a back injury in a car accident. I counted the statement as MSK but wanted to get other opinions.
Rather, a diagnosis of CVA tenderness is typically the result of the provider tapping the costovertebral angle (area on either side of the back between the twelfth rib and vertebral column) in order to further clarify a kidney stone diagnosis. If the patient experiences CVA tenderness, it's often a clinical sign that the patient has kidney stones.
Need help with ICD-9 code for CVAT (costovertebral angle tenderness). Alpha index only lists abdominal (gen/localized), rebound and skin. thanks!
Best answers. 0. May 4, 2010. #2. CVAT = Costovertebral Angle Tenderness. (Rib and vertebra) EOMI - Extra-Ocular Movements (or muscle) Intact. (Eyes) Hope this helps.
Oct 9, 2003. #3. Yes, goofy one is probably correct. I believe that you are referring to "costovertebral angle tenderness" or CVA tenderness. On physical exam, it can be used to denote pyelonephritis. I wouldn't advice punching them too hard either, usually a tap over one hand is sufficient to elicit the response.
She had tenderness to palpation in the lower abdomen and costovertebral angle tenderness. Cultures were sent and she started antibiotics. A 12-lead ECG was obtained. Figure 1.
*Breast: Bilateral: no tenderness, skin changes, abnormal nipple secretions, or masses palpable and nipple appearance: normal and fibrocystic/dense breast(s) bilateral. Right Breast: normal. Left Breast: normal. Back: Appearance normal. Palpation no costovertebral angle tenderness.
September 21, 2005. 0. Physical Examination. A 6-year-old girl presented to the emergency room with a 3-hour history of left-side abdominal pain and fever. Her mother reported that the patient ...