Eructation
ICD-10 R14.2 is a billable code used to indicate a diagnosis of eructation.
Eructation, commonly known as belching, is the act of expelling gas from the stomach through the mouth. This symptom can occur as a result of various physiological and pathological processes. It is often associated with the ingestion of air while eating or drinking, particularly when consuming carbonated beverages. In some cases, excessive eructation may indicate underlying gastrointestinal disorders such as gastroesophageal reflux disease (GERD), peptic ulcers, or functional dyspepsia. Patients may report discomfort, bloating, or a feeling of fullness in the abdomen. While eructation is a common and generally benign symptom, it can also be a source of embarrassment and social discomfort for patients. Clinicians should assess the frequency, timing, and associated symptoms to determine if further investigation is warranted. Abnormal clinical findings may include signs of gastrointestinal obstruction or other serious conditions that require immediate attention. Laboratory findings are typically not specific to eructation but may include tests for H. pylori infection or imaging studies to evaluate for structural abnormalities.
Documentation should include the patient's history of symptoms, associated factors, and any relevant gastrointestinal history.
Patients presenting with chronic belching, bloating, or discomfort after meals.
Consideration of dietary habits and potential food intolerances that may contribute to symptoms.
Acute care documentation should detail the onset, duration, and associated symptoms of eructation, especially if accompanied by severe abdominal pain.
Patients presenting with acute abdominal pain and excessive belching, potentially indicating an underlying acute condition.
Rapid assessment for serious conditions such as perforation or obstruction is critical.
Used when a patient presents for evaluation of chronic belching.
Document the patient's history, physical exam findings, and any treatment plans.
Internal medicine providers should focus on comprehensive evaluations.
R14.2 should be used when a patient presents with eructation as a symptom without a more specific diagnosis available.
