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ICD-10 Coding for Early Satiety(R68.81, K31.84)

Complete ICD-10-CM coding and documentation guide for Early Satiety. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Premature FullnessEarly Fullness

Related ICD-10 Code Ranges

Complete code families applicable to Early Satiety

R68.8Primary Range

Other general symptoms and signs

This range includes the specific code for early satiety, R68.81, which is used when no underlying condition is identified.

Other diseases of stomach and duodenum

Includes gastroparesis (K31.84), which is a common underlying cause of early satiety.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R68.81Early satietyUse when early satiety is present without a known underlying condition.
  • No structural abnormality found on EGD
  • Gastric emptying study <10% retention at 4 hours
  • Negative H. pylori testing
K31.84GastroparesisUse when gastroparesis is confirmed as the underlying cause of early satiety.
  • Gastric emptying >20% retention at 4 hours
  • Documented delayed emptying without obstruction

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 early satiety

Essential facts and insights about Early Satiety

The ICD-10 code for early satiety is R68.81, used when no underlying condition is identified.

Primary ICD-10-CM Codes for early satiety

Early satiety
Billable Code

Decision Criteria

clinical Criteria

  • No structural abnormalities on diagnostic tests.

coding Criteria

  • Use R68.81 only when no other primary condition is identified.

documentation Criteria

  • Document specific symptoms and duration.

Applicable To

  • Feeling full quickly
  • Premature fullness

Excludes

Clinical Validation Requirements

  • No structural abnormality found on EGD
  • Gastric emptying study <10% retention at 4 hours
  • Negative H. pylori testing

Code-Specific Risks

  • Incorrectly coding as primary when an underlying condition is present.

Coding Notes

  • Ensure documentation clearly differentiates early satiety from anorexia.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Dietary counseling and surveillance

Z71.1
Use when dietary modifications are part of the management plan.

Nausea

R11.2
Use when nausea accompanies gastroparesis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Anorexia

R63.0
Anorexia is characterized by a lack of appetite, whereas early satiety involves feeling full after a small amount of food.

Functional dyspepsia

K30
Functional dyspepsia involves upper abdominal discomfort without delayed gastric emptying.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Early Satiety to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R68.81.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation Strategy

Use specific language in documentation., Include quantitative details.

Impact

Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Identify and code the underlying condition as primary.

Impact

Failure to code underlying conditions as primary.

Mitigation Strategy

Review coding guidelines and ensure proper sequencing.

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 Early Satiety, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Early Satiety

Use these documentation templates to ensure complete and accurate documentation for Early Satiety. These templates include all required elements for proper coding and billing.

Gastroenterology Progress Note

Specialty: Gastroenterology

Required Elements

  • Symptom description
  • Diagnostic test results
  • Treatment response

Example Documentation

Patient presents with 8-week history of progressive early satiety, unable to consume >300kcal per meal without vomiting. 10lb unintentional weight loss. EGD shows no structural abnormalities. Gastric emptying study demonstrates 42% retention at 4 hours. Assessment: Gastroparesis with severe early satiety (K31.84, R68.81). Plan: Initiate metoclopramide trial.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Complains of early fullness.
Good Documentation Example
Reports inability to consume >25% of standard meal without nausea x 6 weeks.
Explanation
The good example provides specific details about the symptom's impact and duration.

Need help with ICD-10 coding for Early Satiety? Ask your questions below.

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