Patient presents with symptoms suggestive of pneumatosis intestinalis, including abdominal pain, distension, and potentially bloody stools or vomiting.  Physical examination may reveal abdominal tenderness, guarding, or rebound tenderness.  Differential diagnosis includes bowel ischemia, necrotizing enterocolitis, and infectious colitis.  Imaging studies, such as abdominal X-ray, CT scan, or abdominal ultrasound, are crucial for visualizing the presence of intramural gas, a hallmark of pneumatosis intestinalis.  The CT scan is particularly sensitive for detecting pneumatosis and associated complications like portal venous gas or pneumoperitoneum.  Laboratory tests, including complete blood count, comprehensive metabolic panel, and lactate, may be ordered to assess for infection, inflammation, and organ dysfunction.  Management of pneumatosis intestinalis depends on the underlying cause and severity.  Conservative management with bowel rest, nasogastric decompression, and intravenous fluids may be appropriate in stable patients with mild disease.  Antibiotic therapy may be indicated if infection is suspected.  Surgical intervention, such as laparotomy or laparoscopy, may be necessary in cases of bowel perforation, peritonitis, or persistent ischemia.  Patient education regarding the diagnosis, treatment plan, and potential complications is essential.  ICD-10 code K58.0 will be used for pneumatosis cystoides intestinalis.  CPT codes for diagnostic imaging and potential surgical procedures will be determined based on the specific services provided.  Close monitoring of the patient's clinical status and response to treatment is crucial for optimal outcomes.