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v1.0.0
ICD-10 Guide
ICD-10 CodesR14

R14

Flatulence and related conditions

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R14 is a billable code used to indicate a diagnosis of flatulence and related conditions.

Key Diagnostic Point:

Flatulence, or excessive gas in the gastrointestinal tract, is a common symptom that can be caused by various factors including dietary habits, gastrointestinal disorders, and malabsorption syndromes. It is characterized by the release of gas from the digestive system through the rectum, which can be accompanied by bloating, abdominal discomfort, and changes in bowel habits. Common causes include the consumption of certain foods (such as beans, carbonated beverages, and high-fiber foods), lactose intolerance, and gastrointestinal conditions like irritable bowel syndrome (IBS) or small intestinal bacterial overgrowth (SIBO). Diagnostic approaches typically involve a thorough patient history, dietary assessment, and may include laboratory tests or imaging studies to rule out underlying conditions. While flatulence itself is often benign, persistent or severe cases warrant further investigation to exclude more serious gastrointestinal disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes that can lead to flatulence
  • Need for thorough patient history and dietary assessment
  • Potential overlap with other gastrointestinal symptoms
  • Documentation of associated symptoms for accurate coding

Audit Risk Factors

  • Inadequate documentation of dietary habits
  • Failure to document associated symptoms
  • Misclassification of flatulence as a primary diagnosis
  • Lack of follow-up documentation for persistent symptoms

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history including dietary habits, symptom duration, and associated gastrointestinal symptoms.

Common Clinical Scenarios

Patients presenting with chronic flatulence, bloating, and abdominal pain.

Billing Considerations

Consideration of comorbid conditions such as IBS or food intolerances.

Emergency Medicine

Documentation Requirements

Acute care documentation including onset of symptoms, severity, and any associated acute abdominal symptoms.

Common Clinical Scenarios

Patients presenting with acute abdominal pain and flatulence, requiring immediate assessment.

Billing Considerations

Differentiating between benign flatulence and serious conditions like bowel obstruction.

Coding Guidelines

Inclusion Criteria

Use R14 When
  • Follow official ICD
  • CM guidelines for coding symptoms and signs, ensuring that flatulence is documented as a symptom rather than a standalone diagnosis unless further evaluated

Exclusion Criteria

Do NOT use R14 When
No specific exclusions found.

Related Codes

Child Codes

4 codes
R14.0
Abdominal distension (gaseous)
R14.1
Gas pain
R14.2
Eructation
R14.3
Flatulence

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when evaluating a patient with flatulence and associated symptoms.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Internal medicine may require more detailed dietary assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like flatulence, improving the ability to capture the complexity of gastrointestinal complaints.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like flatulence, improving the ability to capture the complexity of gastrointestinal complaints.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like flatulence, improving the ability to capture the complexity of gastrointestinal complaints.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use R14?

Use R14 when documenting flatulence as a symptom, ensuring that it is not coded as a primary diagnosis without further evaluation.