ICD-10 Coding for Distended Abdomen(R14.0, R18.8)
Complete ICD-10-CM coding and documentation guide for Distended Abdomen. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Distended Abdomen
R10-R19Primary Range
Symptoms and signs involving the digestive system and abdomen
This range includes codes for abdominal symptoms, including distension.
Other diseases of intestines
Includes codes for conditions that may cause abdominal distension, such as bowel obstruction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R14.0 | Abdominal distension (gaseous) | Use when abdominal distension is present without a confirmed underlying cause. |
|
| R18.8 | Other ascites | Use when ascites is confirmed and documented. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for distended abdomen
Essential facts and insights about Distended Abdomen
Primary ICD-10-CM Codes for distended abdomen
Decision Criteria
clinical Criteria
- Presence of visible abdominal distension without a specific diagnosis.
documentation Criteria
- Documentation lacks specific diagnosis but includes detailed description of distension.
Clinical Validation Requirements
- Diurnal girth variation ≥6cm
- Absence of obstruction on imaging
Code-Specific Risks
- Risk of using when a more specific diagnosis is available.
Coding Notes
- Ensure documentation specifies the nature and extent of distension.
R18.8 - Other ascites
Use when ascites is confirmed and documented.
Applicable To
- Ascites not otherwise specified
Excludes
- Abdominal distension (R14.0)
Clinical Validation Requirements
- Paracentesis >500mL fluid
- SAAG ≥1.1 or <1.1
Coding Notes
Ensure ascites is confirmed by imaging or clinical findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Distended Abdomen to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R14.0.
Impact
Clinical: Leads to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Use specific clinical terms., Document associated symptoms and diagnostic findings.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use R18.8 for ascites when fluid accumulation is confirmed.
Impact
Risk of using non-specific codes when more specific ones are available.
Mitigation Strategy
Regular training on documentation and coding updates.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Distended Abdomen, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Distended Abdomen
Use these documentation templates to ensure complete and accurate documentation for Distended Abdomen. These templates include all required elements for proper coding and billing.
Post-operative distension
Specialty: SurgeryRequired Elements
- Description of distension
- Associated symptoms
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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