Delayed gastric emptying is traditionally associated with nausea, vomiting, postprandial fullness, early satiety, bloating and abdominal pain but asymptomatic cases have been reported. 02 may differ. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 01705. Patients with delayed gastric emptying (> 10% gastric retention at 4 h) or prior gastric surgery were excluded. -) Gastroesophageal reflux disease co-occurrent and due to diaphragmatic hernia. The normal range for HET was 18–73 min for porridge and 44–116 min for scrambled egg. Brune et al 20 also had similar results, with delayed gastric emptying in 3 of 16 patients (18%). View Media Gallery. Rapid gastric emptying is consistent with <70% of the radiotracer present in the stomach at 30 min or <30% at 1 h . It is supposed to help with nausea and vomiting as well as help speed up the gastric emptying time. 11 Vomiting without nausea R11. 84 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. later or more than 100% increased gastric tube width on a frontal chest x-ray projection together with the presence of an air-uid level. 9 - other international versions of ICD-10 K31. 40 - other international versions of ICD-10 K29. 1097/01. Gastric diverticulum: K316: Fistula of stomach and duodenum: K31819: Angiodysplasia of stomach and duodenum without bleeding: K3183: Achlorhydria: K3184: Gastroparesis: K3189:INTRODUCTION. 21 may differ. milestone in childhood 783. Aims To determine clinical predictors of RGE in patients presenting with dyspeptic symptoms. 83. Delayed gastric conduit emptying (DGCE) is the most common functional postoperative. 3 - other international versions of ICD-10 E89. In 1990, gastric outlet obstruction was estimated to occur in 5% to 10% of all hospital admissions for ulcer-related complications, accounting for 2,000 operations annually. Delayed gastric emptying (DGE) after esophagectomy and reconstruction with a gastric conduit is a common complication that occurs in 15%–39% of patients [ 4 - 6 ]. Benign prostatic hypertrophy (enlarged prostate); Incomplete bladder emptying; Incomplete emptying of bladder; Incomplete emptying of bladder due to benign prostatic hypertrophy; Urinary retention due to benign. Dumping syndrome occurs in patients who have had gastric surgery. 1 became effective on October 1, 2023. 6 Fistula of stomach and duodenum. 39. 9 - other international versions of ICD-10 R33. intestinal malabsorption (. Short description: Benign prostatic hyperplasia with lower urinary tract symp. 0 for bloating has been effective since October 1st, 2021. The gold standard and most commonly performed test to evaluate gastric emptying is gastric scintigraphy, a radionuclide gastric emptying study used for the evaluation of. The patient is referred for a gastric emptying study. This is the American ICD-10-CM version of Z90. The 2024 edition of ICD-10-CM K30 became effective on October 1, 2023. 5: Diverticulum of esophagus,. Delayed gastric emptying by WMC was defined as more than 5 hours before passage of the capsule into the duodenum and delayed emptying by GES was defined as at least 10% meal retention at 4 hours. 10/15/10 added new reimbursement information re: gastric manometry, gastric emptying, and H. The 2024 edition of ICD-10-CM R15. Benign prostatic hypertrophy (enlarged prostate); Incomplete bladder emptying; Incomplete emptying of bladder; Incomplete emptying of bladder due to benign prostatic hypertrophy; Urinary retention due to benign. With that said, about 25% of adults in the US will have. This complication is associated with uncontrolled diabetes, contributing to approximately one-third of all gastroparesis cases (1–3). Gastrointestinal motility can be impaired due to: A problem within the muscles that control peristalsis. This was the first year ICD-10-CM was implemented into the HIPAA code set. 09 may differ. This article discusses the history of gastric electrical stimulation and its use in clinical practice to help those suffering from gastroparesis that is refractory to. K31 Other diseases of stomach and duodenum. Gastroparesis, also. 2–47% ( 22 ). Gastric peroral endoscopic myotomy (G-POEM) is a minimally invasive procedure to relieve symptoms of gastroparesis. Access to this feature is available in the following products: E11. Background: Studies on gastrointestinal symptoms, dysfunctions, and neurological disorders in systemic scleroderma are lacking so far. Gastric outlet obstruction (GOO, also known as pyloric obstruction) is not a single entity; it is the clinical and pathophysiological consequence of any disease process that produces a mechanical impediment to gastric emptying. 4 Gastric diverticulum. 2013 Jul;26 (5):479-86. At 32 weeks gestation, the gastric emptying patterns are similar to older infants, children, and even adults. 11 This mechanism has. 8 was previously used, K30 is the appropriate modern ICD10 code. ICD-9-CM Vol1 CrossRef ; ICD-9-CM Vol3 CrossRef ; Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. Gastric emptying was significantly faster in children ≤6 months as compared with all older age groups. A feeling of fullness after eating just a few bites. Gastric emptying is analyzed as percent of radioactivity retained in the stomach over time using the geometric center of the decay-corrected anterior and posterior counts for each time point. 43 E09. CP Musculoskeletal System. 11. K31. Gastroparesis may be caused by motor dysfunction or paralysis of STOMACH muscles or may be associated with other systemic diseases. 9 - other international versions of ICD-10 K21. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD 10 code for bloating falls under Chapter 18 of the. vomiting. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. 0 is the ICD-10-CM 2022 code for Abdominal Distension (Gaseous). low-fat broths or clear soups. 1651-2227. 21 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Gastroesophageal reflux (GER), generally defined as the passage of gastric contents into the esophagus, is an almost universal phenomenon in preterm infants. T18. Annal Intern Med; In Press. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 411 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 89 should only be used for claims with a date of service on or before September 30, 2015. The 2024 edition of ICD-10-CM K31. This is the American ICD-10-CM version of K29. 10/15/15 annual review; removed "as of" dates from gastric emptying scintigraphy . 3 Pancreatic steatorrhea. Symptoms include abdominal distension, nausea, and vomiting. Billable Thru Sept 30/2015. 2023 ICD-10-CM Diagnosis Code K30 – Functional dyspepsia (K30) K30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Circadian rhythm sleep disorder, delayed sleep phase type. ]Gastric bypass surgery complication(s); Non-infectious complication of gastric bypass surgery; Non-infectious complication of sleeve gastrectomy; Sleeve gastrectomy complication(s); code, if applicable, to further specify complicationChronic atrophic gastritis without bleeding. 1, 2 As discussed below (Background and Scope of Review), multiple causes are proposed. 89. External specialist reviewed. It is unclear whether RGE represents a separated clinical entity or part of the functional dyspepsia spectrum. Abstract. This is the American ICD-10-CM version of R94. vomiting of undigested food. 43 may differ. 1 may differ. 1 became effective on October 1, 2023. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 4 became effective on October 1, 2023. C9 Ear, Nose, Mouth and Throat. Gastroparesis (GP) is a motility disorder characterized by symptoms and objective documentation of delayed gastric emptying (GE) of solid food without mechanical obstruction, which should be excluded by imaging studies such as upper gastrointestinal (GI) endoscopy or radiology (). 41: Urge incontinence : R33. Applicable To. Disclaimer: The information in no way constitutes, or should be construed as. 9 R94. 9), and 15 (5. Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach to the duodenum —the first part of the small intestine—in the upper gastrointestinal (GI) tract. Procedure. 1 - other international versions of ICD-10 K91. 2 Blind loop syndrome, not elsewhere classified. Short description: Gastric contents in esophagus causing oth injury, init The 2024 edition of ICD-10-CM T18. Four hours: Less than or equal to 10% of the meal is left in your stomach. The use of a 30-mm balloon has the same safety profile but a 2. 29 E75. 3: DiseasesDB: 32575: MedlinePlus: 000297: MeSH: D018589: For patient information, click here. As per radiology,the code for Gastric emptying study is 78264 and here as it is a nondiagnostic study,it is a No charge and need not be. Applicable To. However, gastroparesis is diagnosed only when other symptoms in the digestive system are also present. 500 results found. 8. The 2024 edition of ICD-10-CM Z96. One of the pregnancy hormones, progesterone, is associated with delaying muscle contraction, and it is believed that this is a major. Typically the time required for each study is as follows: Gastric emptying study with small bowel follow transit test: six. To see how fast your stomach empties its contents, one or more of these tests may be recommended: Scintigraphy. The 2024 edition of ICD-10-CM R19. R19. 3. This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis. eeleccion Guest. (See "Gastroparesis: Etiology, clinical manifestations, and diagnosis" . K90. The revision of the gastric emptying study code 78264 and the addition of two CPT codes for gastric emptying studies are the only changes in nuclear medicine procedure coding. In the recent past, gastric or duodenal ulcers used to be the prevailing etiology for GOO. We also describe the work up and management of. Dyspepsia and other specified disorders of function of stomach (exact match) This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. Access to this feature is available in the following products: 500 results found. 84 also required] Diabetic gastroparesis: K22. Diseases of the digestive system. Studies suggest that surgical methods and other clinical characteristics may affect the occurrence of DGE. ICD-10-CM Codes. 14 [convert to ICD-9-CM] Feeling of incomplete bladder emptying. Feb 25, 2009 #1 Need help. Synonyms: abnormal gastric acidity, abnormal gastric secretion, delayed gastric emptying, Gastric emptying imaging study (eg, solid, liquid, or both) 78265: Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit : 78266: Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days: ICD-10 codes covered if selection criteria are met: K20. Benign prostatic hypertrophy (enlarged prostate); Incomplete bladder emptying; Incomplete emptying of bladder; Incomplete emptying of bladder due to benign prostatic hypertrophy;. The 2024 edition of ICD-10-CM N40. Your stomach muscles coordinate to move food through in a controlled and systematic way. ICD-10-CM K31. 7 became effective on October 1, 2023. 8 should only be used for claims with a date of service on or before September 30, 2015. This is the American ICD-10-CM version of N40. ICD-10-PCS 06L24ZZ is a specific/billable code that can be used to indicate a procedure. ICD-9-CM Vol3 CrossRef Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. Gastric emptying in normal subjects—a reproducible technique using a single scintillation camera and computer system. 1111/j. Idiopathic gastroparesis refers to gastroparesis of unknown cause not from diabetes; not from prior gastric surgery; not related to other endocrine, neurologic, rheumatologic causes of gastroparesis; and not. In this review, we discuss several complications that can arise and can be managed by a gastroenterologist. The 2024 edition of ICD-10-CM R94. T ½ was determined using 3. The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. 2 and 10. 9XXA became effective on October 1, 2023. O21. 5 and. The following code(s) above. Clinical entities that can result in GOO generally are categorized into two well-defined groups of causes: benign and. 4 - other international versions of ICD-10 R19. INTRODUCTION. 12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Six patients had accelerated while 12 had delayed gastric emptying in the four-hour gastric emptying studies. 84 - Bariatric surgery status. Clinical entities that can result in GOO generally are categorized into two well-defined groups of causes: benign and. too much belching. Surgeries of this type are intended to address obesity and excessive weight. Benign prostatic hypertrophy (enlarged prostate); Incomplete bladder emptying; Incomplete emptying of bladder; Incomplete emptying of bladder due to benign prostatic hypertrophy; Urinary retention due to benign. K31. 9 - other international versions of ICD-10 E63. However, we have seen patients with normal solid but delayed liquid emptying. 1 - other international versions of ICD-10 K91. Emptying delays in 619 patients from a scintigraphy database were associated with endoscopic food retention, gastroparesis etiologies, and medications that modify gastric transit. 9 became effective on October 1, 2023. 12 The mechanism of the effects of rectal distension on gastric emptying is unclear but likely reflects a combination of both humoral and neural effects. for clarification. Disclaimer: The information in no way constitutes, or should be construed as. 1 However, gastric emptying values are dependent on various factors such as meal composition and consistency, 2 body position, 3 smoking, 4 gender, 5 phase of. ICD-10-CM Diagnosis Code T17. Botulinum Toxins, Type A / administration. 0x; ICD-10: G20) during the therapeutic identification period (between. 1 - other international versions of ICD-10 R39. Thus, besides anorexigenic gut hormones, such as cholecystokinin and glucagon-like peptide-1, which cause gastric distension and slow down emptying, satiety induced by gastric distension can also be regulated by some adipocyte-released peptides [63,73]. 14: Feeling of incomplete bladder emptying : ICD-10 codes not covered for indications listed in the CPB (not all-inclusive): E75. Gastric contents in esoph cause comprsn of trachea, sequela. 82 - other international versions of ICD-10 Z96. Upper gastrointestinal tract diseases that can be complicated with GOO comprise both benign and malignant disorders. 43 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2015. Underdosing of other antacids and anti- gastric -secretion drugs. In this review, we discuss several complications that can arise and can be managed by a gastroenterologist. Short description: STOMACH FUNCTION DIS NEC. INTRODUCTION. The ICD code K911 is used to code Gastric dumping syndrome. other symptoms such as abdominal pain, nausea, bloating, vomiting, heartburn, and a lack of appetite. 1016/j. 1 ICD-9 564. Gastric outlet obstruction (GOO) occurs when gastric emptying is mechanically inhibited by various diseases, most of which involve obstruction of the gastric pylorus or proximal duodenum due to intrinsic or extrinsic factors. Other diseases of stomach and duodenum (K31) Gastroparesis (K31. 25 hrs. In the sub -analysis of 197 patients with diabetic gastroparesis, total symptom severity scores and gastric. 10,12 Chronic constipation can cause chronic or recurrentOther ways to assess gastric emptying include wireless capsule motility and breath tests using stable C-13 isotopes. Late dumping can present 1 to 3 hours after a high-carbohydrate meal. GLP-1 delays gastric emptying and gut motility in healthy lean and obese subjects and patients with type 2 diabetes [15-17]. Increase in cholinergic function and decreased sympathetic functions; 5. The respective mean gastric emptying times (sd) were 15 (6. 0 may differ. . Department of Surgery, Mayo Medical School, Rochester, Minnesota. The normal range for lag time was 0–13 min for porridge and 1–34 min for scrambled egg. 2024 ICD-10-CM Range K20-K31. What ICD-10 Codes are Used for Abdominal Pain Abdominal pain is a common symptom that can arise from various underlying conditions. Description. Normal values of the gastric emptying study (for the solid meal) are: At one hour after the meal: 37-90% of the meal is still inside your stomach. 9 - other international versions of ICD-10 E63. Code 78265 denotes small bowel transit, while code 78266 denotes small bowel and colon. 84) K31. Therefore, we hypothesize that the frequency of retained gastric food contents at EGD will be higher in a cirrhotic population compared to a control population without liver disease. E64 Sequelae of malnutrition and other nutritiona. K20-K31. 500 results found. 1 became effective on October 1, 2023. The aim of this study was to determine the long term effects of pyloromyotomy for infantile hypertrophic pyloric stenosis (IHPS) on gastric emptying and pyloric motility. and/or > 10% at 4 h is considered delayed gastric emptying of solids. 02 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Gastric retention of Tc-99m > 60% at 2 h. A gastric emptying study tells healthcare providers how well your stomach muscles are working. 83. bloating. Ongoing improvements in perioperative care, nutritional support, and new prokinetic drugs may have had a beneficial effect on the frequency and course of postoperative DGE. However, its exact association with clinical symptoms still is remains unclear. 9 Full incontinence of feces R19. cgh. 84 for Gastroparesis is a medical classification as listed by WHO under the range -Diseases of esophagus, stomach and duodenum . 2, 3, 4 Mild. Symptoms of early dumping occur within 10 to 30 minutes after a meal. Gastric varices bleeding; Stomach varices. Gastric dumping syndrome, or rapid gastric emptying is a condition where ingested foods bypass the stomach very rapidly and enter the small intestine largely undigested. This is the American ICD-10-CM version of K31. 9XXA - other international versions of ICD-10 T18. 14 More recently, the 13 C breath test that indirectly measures gastric emptying has been developed. Background Rapid gastric emptying (RGE) is defined as less than 30% retention at 1 h of solid meal ingestion. CD15YZ. 4 - other international versions of ICD-10 K22. This is the American ICD-10-CM version of R94. 8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 536. ICD-9-CM 536. K90 Intestinal malabsorption. This is the American ICD-10-CM version of K22. Delayed gastric emptying is a common postoperative complication of pancreatic resection with an incidence between 14 and 61 % . early fullness after a small meal. Dumping syndrome occurs when food, especially sugar, moves too quickly from the stomach to the duodenum—the first part of the small intestine—in the upper gastrointestinal (GI) tract. This means that in all cases where the ICD9 code 537. The following code(s) above Z85. Lack of appetite. Gastric dumping syndrome Gastric dumping syndromeClassification & external resources ICD-10 K91. Abnormally increased. The 2024 edition of ICD-10-CM E87. 21 - other international versions of ICD-10 E87. Here they are: Z98. 39 may differ. 1 Tropical sprue. 8 - other international versions of ICD-10 Q39. Gastric motility (manometric studies) ICD-10 codes covered if selection criteria are met (not all-inclusive): K21. K94. It is supposed to help with nausea and vomiting as well as help speed up the gastric emptying time. Gastric emptying is then documented by scintigraphic analysis. 0 - other international versions of ICD-10 K31. Background & aims: Constipation can be an important symptom in some patients with gastroparesis. It can disrupt the normal functioning. 8 may differ. K90. CPT Code 78013. ICD-9-CM 536. Griffith and colleagues of Cardiff, Wales, using a breakfast meal labeled with Chromium-51. [Adapted with permission from Collins PJ, Horowitz M, Cook DJ, et al. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. All patients had a gastric emptying scintigraphy within 6 months of the study. This is the American ICD-10-CM version of Z85. 01 - other international versions of ICD-10 K59. Emptying problems arising from intra-abdominal complications are secondary entities and different from WP related DGE itself 10. Gastroparesis is a syndrome characterized by delayed gastric emptying 1 in the absence of mechanical obstruction of the stomach. But the symptoms are very much like other kinds of gastrointestinal conditions (ones that affect your stomach and intestines). INTRODUCTION. This study aimed to develop a nomogram to identify potential predictors and predict the probability of DGE after PD. 10/17 10/17 Added “gastric emptying” to scintigraphy in I. 8 should only be used for claims with a date of service on or before September 30, 2015. 2 Fecal urgency R15. K21 - Gastro-esophageal reflux disease. The 2024 edition of ICD-10-CM E63. In severe cases, nausea and vomiting may cause weight loss, dehydration, electrolyte disturbances, and malnutrition due to inadequate caloric and fluid intake. Gastroparesis is a syndrome of objectively delayed gastric emptying of solids in the absence of a mechanical obstruction and cardinal symptoms of nausea, vomiting, early satiety, belching, bloating, and/or upper abdominal pain [ 4 ]. 41 became effective on October 1, 2023. will outline the causes, symptoms, diagnosis, treatment and the ICD 10 CM code for Lynch Syndrome. CPT ® Code Set. Find a Doctor. The 2024 edition of ICD-10-CM R33. 43 became effective on. 7% FE . K94. This is the American ICD-10-CM version of E63. 0000000000001874. At two hours, a delay in movement of the food bolus is 90% sensitive and specific for delayed gastric emptying (normal to have 30–60% empty). Dumping syndrome is a frequent complication of esophageal, gastric or bariatric surgery. R14. Methods Retrospective study of patients who underwent solid Gastric Emptying. Abstract. Gastric emptying was clinically evaluated using scintigraphy. The 78264 procedure involves the following steps: The patient consumes a meal containing a radiopharmaceutical or tracer, such as Tc-99m sulfur colloid. It is a clinical condition resulting from delayed gastric emptying in the absence of mechanical obstruction and is associated with upper gastrointestinal symptoms. Gastric emptying scintigraphy has been considered as gold standard in gastric emptying measurement due to its physiologic, quantitative and non-invasive nature. For these conditions, only diagnosis formally documented as ICD-10 by the treating specialist was included. Gastroparesis is a relatively rare disorder of the stomach wall that only affects about 24. 4 Gastric diverticulum. Clinical significance of rapid (accelerated) gastric emptying. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. Delayed gastric emptying is consistent with >90% of the radiotracer present in the stomach at 1 h, >60% at 2 h, and >10% at 4 h. 91. constipation (. K31. Endoscopic pyloric dilatation after esophagectomy is a safe procedure for treatment of gastric outlet obstruction. -) 124 Other disorders of the eye with mcc or thrombolytic agent. Acute lactic acidosis. DOI: 10. CT. The normal range for EHL was 21–57 min for porridge. Diagnosis and management of patients with gastroparesis. primary respiration 768. 82 may differ. Methods: Patients with refractory gastroparesis after gastric bypass for morbid obesity were studied. Gastroparesis is a chronic symptomatic disorder of the stomach characterized by delayed emptying without evidence of mechanical obstruction. Stable isotope breath test: The breath is measured after eating a meal containing a type of nonradioactive carbon. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 20,21 Gastric outlet obstruction now occurs in fewer than 5% of patients with duodenal ulcer disease and fewer than 2% of patients with gastric ulcer disease. The ICD-10-CM Alphabetical Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. If it doesn’t, you have rapid or delayed gastric emptying. 229 became effective on October 1, 2023. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Grade C delayed gastric emptying was observed in only one (1. 4 - other international versions of ICD-10 K22. This chapter includes symptoms, signs, abnormal. Gastroparesis is characterized by delayed gastric emptying in the absence of mechanical obstruction. ETIOLOGY–EPIDEMIOLOGY. Many people with gastroparesis don't have any noticeable signs and symptoms. 40 became effective on October 1, 2023. K27 - Peptic ulcer, site unspecified. -) Diseases of esophagus, stomach and duodenum. 110A became effective on October 1, 2023. Most people with dumping syndrome develop signs and symptoms, such as abdominal cramps and diarrhea, 10 to 30 minutes after eating. 841 is applicable to mothers in the first trimester of pregnancy, which is defined as less than 14 weeks since the first day of the last menstrual period. Gastric retention of <30 at 1 hour is indicative of fast gastric emptying, and retention of >30% at 4 hours suggests slow gastric emptying. ICD-10-CM Diagnosis Code K90. Short description: Abnormal results of function studies of organs and systems The 2024 edition of ICD-10-CM R94. Description. 0 may differ. The official description of CPT code 78264 is: “Gastric emptying imaging study (eg, solid, liquid, or both)”. Guzman et al 12 also found delayed gastric emptying as the most common complication in 4 of their 20 patients (20%) after laparoscopic GJ. Predominant. Introduction. 02 became effective on October 1, 2023. In secondary DGE, treatment modalities must be focused on intra-abdominal causes such as hematoma, collection, and abcess. 118A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ICD-10 codes covered if selection criteria are met: E08. 99 - Digestve syst symptm NEC: Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. Type 1 Excludes. gastric emptying is delayed. R15. Abstract. CH Skin, Subcutaneous Tissue and Breast.