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R14 vs R39

R14 (Flatulence and related conditions) compared with R39 (Other and unspecified symptoms and signs involving the genitourinary system), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. R14 carries an Excludes2 note covering R39: “signs and symptoms involving the urinary system (R30-R39)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

R14Flatulence and related conditionsR39Other and unspecified symptoms and signs involving the genitourinary system
Billing statusNon-billable header

Report instead: R14.0, R14.1, R14.2, R14.3

Non-billable header

Report instead: R39.0, R39.11, R39.12, R39.13, R39.14

ClassificationR00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionFlatulence and related conditions is a non-billable ICD-10-CM category code (R14).Other and unspecified symptoms and signs involving the genitourinary system is a non-billable ICD-10-CM category code (R39).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources