Abdominal distension (gaseous)
ICD-10 R14.0 is a billable code used to indicate a diagnosis of abdominal distension (gaseous).
Abdominal distension (gaseous) refers to the abnormal swelling or enlargement of the abdomen due to the accumulation of gas in the gastrointestinal tract. This condition can manifest as a feeling of fullness, tightness, or bloating, and may be accompanied by discomfort or pain. Patients may report increased flatulence, belching, or changes in bowel habits. The distension can be caused by various factors, including dietary choices, gastrointestinal disorders, or functional issues such as irritable bowel syndrome (IBS). Clinical evaluation often involves a thorough history and physical examination, focusing on the abdomen's size, shape, and tenderness. Laboratory tests may include imaging studies like X-rays or ultrasounds to assess for underlying causes such as bowel obstruction or perforation. Understanding the etiology of abdominal distension is crucial for effective management and treatment, as it can indicate both benign and serious conditions.
Detailed patient history, including dietary habits and associated symptoms, physical examination findings, and any diagnostic tests performed.
Patients presenting with chronic abdominal discomfort, bloating, and changes in bowel habits.
Consideration of comorbidities such as diabetes or inflammatory bowel disease that may contribute to symptoms.
Acute assessment of abdominal distension, including vital signs, pain assessment, and immediate imaging results.
Patients presenting with acute abdominal pain and distension, potentially indicating an emergency such as bowel obstruction.
Rapid assessment and documentation are crucial to differentiate between benign and life-threatening conditions.
Used for follow-up visits for patients with chronic abdominal distension.
Document the patient's history, physical exam findings, and any treatment plans.
Internal medicine providers should focus on chronic management strategies.
Use R14.0 when a patient presents with abdominal distension due to gas without a specific underlying diagnosis. Ensure that the documentation supports this symptom.