Z01.419 - Encounter for gynecological examination (general) (routine) without abnormal findings

Clinical Definition

Gastroparesis is a chronic digestive disorder where the stomach has delayed emptying without any mechanical obstruction. This condition impairs the stomach's ability to move food into the small intestine at a normal rate, leading to digestive symptoms and potential nutritional deficits.

Documentation Requirements

• Acuity (acute vs. chronic)

• Underlying cause must be specified:

  • Diabetic

  • Post-surgical

  • Idiopathic

  • Drug-induced

• Associated symptoms:

  • Nausea

  • Vomiting

  • Early satiety

  • Bloating

• Severity of symptoms

• Results of gastric emptying studies if performed

• Impact on nutritional status

Common Synonyms

• Delayed gastric emptying

• Stomach paralysis

• Gastric stasis

• Weak stomach muscles

• Diabetic stomach

Coding Conflicts

Excludes1:

• Pyloric stenosis

• Mechanical obstruction of stomach

• Psychogenic gastric disorders

Excludes2:

• Diabetic gastroparesis (should be coded separately with diabetes code first)

• Drug-induced gastroparesis (add additional code for adverse effect)

Scribing.io Automation

The AI scribe automatically detects:

• Key temporal phrases indicating chronicity

• Diagnostic test results mentioning "delayed emptying"

• Associated symptom descriptions

• Causal relationships (e.g., "due to diabetes")

• Severity descriptors

• Treatment responses

The system flags missing elements needed for complete documentation, particularly underlying cause and severity assessment.