R11.14
Bilious vomiting
Clinical Classification Guidelines
Inclusion Terms
- Bilious emesis
Medical Intelligence & Overview
Bilious vomiting, also known as emesis containing bile, is characterized by the expulsion of greenish or yellowish fluid from the stomach through the mouth. This condition often indicates an underlying issue within the gastrointestinal tract, particularly related to bile flow. Recognized under the ICD-10 code R11.14, bilious vomiting can be a symptom of various medical conditions that require prompt evaluation and management. This guide aims to provide a comprehensive overview of this condition, highlighting potential causes, symptoms, diagnostic approaches, and general treatment considerations.
Causes & Symptoms
Clinical Causes: Intestinal obstruction, especially at the level of the duodenum or beyond Gallbladder or bile duct disorders, such as cholecystitis or cholangitis Gastrointestinal infections leading to inflammation or motility disturbances Medications that affect gastrointestinal motility Peptic ulcers causing local inflammation and damage Postoperative complications affecting the gastrointestinal tract Severe gastrointestinal bleeding Intra-abdominal tumors or growths obstructing the normal flow of bile Functional gastrointestinal disorders, such as gastroparesis Other conditions causing disruption of normal bile flow or gastric emptying
Key Symptoms: Repeated episodes of vomiting with a green or yellowish color Nausea and abdominal discomfort or pain Bloating and a feeling of fullness Dehydration signs, such as dry mouth and dizziness Fever if an infection is involved Changes in bowel habits, such as diarrhea or constipation Loss of appetite and weight loss in chronic cases
Diagnostic & Treatment
Diagnosis Path: Diagnosis generally involves a clinical assessment by a healthcare provider, including a detailed medical history and physical examination. To determine the underlying cause of bilious vomiting, a combination of diagnostic tests may be employed:
Treatment Protocols: The management of bilious vomiting involves addressing both the symptoms and the underlying cause appropriately. General considerations include:
Clinical Advice & FAQs
Billing Guidance
Is R11.14 a billable ICD-10 code?
Yes, R11.14 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report R11.14?
Clinical documentation must specify the nature of Bilious vomiting and any associated comorbidities for accurate reporting.
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