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v1.0.0
ICD-10 Guide
ICD-10 CodesR14.1

R14.1

Gas pain

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

Code Description

ICD-10 R14.1 is a billable code used to indicate a diagnosis of gas pain.

Key Diagnostic Point:

Gas pain, classified under ICD-10 code R14.1, refers to discomfort or pain resulting from the accumulation of gas in the gastrointestinal tract. This condition can manifest as sharp, cramp-like sensations in the abdomen, often accompanied by bloating, belching, and flatulence. Patients may describe the pain as intermittent and varying in intensity, typically alleviated by passing gas or having a bowel movement. Common causes of gas pain include dietary factors such as the consumption of high-fiber foods, carbonated beverages, and lactose-containing products, as well as gastrointestinal disorders like irritable bowel syndrome (IBS) or small intestinal bacterial overgrowth (SIBO). The diagnostic approach typically involves a thorough patient history, physical examination, and may include imaging studies or laboratory tests to rule out other gastrointestinal conditions. It is essential for healthcare providers to differentiate gas pain from more serious conditions such as appendicitis or bowel obstruction, which may present with similar symptoms.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Commonly encountered symptom in primary care settings
  • Clear diagnostic criteria based on patient history and symptoms
  • Limited need for advanced diagnostic testing
  • Low risk of misdiagnosis when documented properly

Audit Risk Factors

  • Inadequate documentation of symptoms leading to misclassification
  • Failure to differentiate from more serious gastrointestinal conditions
  • Overuse of the code without proper clinical justification
  • Lack of specificity in patient history and examination findings

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with chronic abdominal discomfort and bloating.

Billing Considerations

Consideration of underlying gastrointestinal disorders that may contribute to gas pain.

Emergency Medicine

Documentation Requirements

Acute care documentation including vital signs, physical exam findings, and any immediate interventions.

Common Clinical Scenarios

Patients presenting with acute abdominal pain where gas pain is a differential diagnosis.

Billing Considerations

Rapid assessment to rule out surgical emergencies such as appendicitis or perforation.

Coding Guidelines

Inclusion Criteria

Use R14.1 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that R14
  • 1 is used only when gas pain is the primary diagnosis and not as a secondary code unless specified

Exclusion Criteria

Do NOT use R14.1 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when evaluating a patient with gas pain in an outpatient setting.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Internal medicine providers should focus on dietary history and symptom management.

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 gas pain, 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 gas pain, 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 gas pain, 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 R14.1?

Use R14.1 when gas pain is the primary diagnosis and there are no other underlying gastrointestinal conditions that explain the symptoms.