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v1.0.0
ICD-10 Guide
ICD-10 CodesR14.0

R14.0

Abdominal distension (gaseous)

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

Code Description

ICD-10 R14.0 is a billable code used to indicate a diagnosis of abdominal distension (gaseous).

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes ranging from benign to serious
  • Overlap with other gastrointestinal symptoms
  • Need for thorough documentation of patient history
  • Potential for misdiagnosis if not properly evaluated

Audit Risk Factors

  • Inadequate documentation of symptoms and patient history
  • Failure to specify the cause of distension if known
  • Misuse of the code for unrelated abdominal conditions
  • Lack of supporting diagnostic tests in the medical record

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including dietary habits and associated symptoms, physical examination findings, and any diagnostic tests performed.

Common Clinical Scenarios

Patients presenting with chronic abdominal discomfort, bloating, and changes in bowel habits.

Billing Considerations

Consideration of comorbidities such as diabetes or inflammatory bowel disease that may contribute to symptoms.

Emergency Medicine

Documentation Requirements

Acute assessment of abdominal distension, including vital signs, pain assessment, and immediate imaging results.

Common Clinical Scenarios

Patients presenting with acute abdominal pain and distension, potentially indicating an emergency such as bowel obstruction.

Billing Considerations

Rapid assessment and documentation are crucial to differentiate between benign and life-threatening conditions.

Coding Guidelines

Inclusion Criteria

Use R14.0 When
  • Follow the official ICD
  • CM guidelines for coding symptoms and signs, ensuring that the code is used when no definitive diagnosis is established
  • Document the reason for the visit and any relevant findings

Exclusion Criteria

Do NOT use R14.0 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for patients with chronic abdominal distension.

Documentation Requirements

Document the patient's history, physical exam findings, and any treatment plans.

Specialty Considerations

Internal medicine providers should focus on chronic management strategies.

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 abdominal distension, improving the granularity of data for research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like abdominal distension, improving the granularity of data for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of symptoms like abdominal distension, improving the granularity of data for research and treatment outcomes.

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 R14.0?

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.