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Home/Diagnosis/ICD-10 Coding for Encopresis

ICD-10 Coding for Encopresis

F98.1
K59.04

Complete ICD-10-CM coding and documentation guide for icd-10 coding for encopresis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Functional Fecal Incontinence
Non-retentive Encopresis
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Key Information: ICD-10 Coding for Encopresis

Essential facts and insights about ICD-10 Coding for Encopresis

Use ICD-10 code F98.1 for non-organic encopresis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Non-organic encopresis

Billable Code
F98.1
Billable

Diagnostic Criteria

clinical:
  • • Absence of physiological causes confirmed by tests.
documentation:
  • • Documented psychological assessment.

Applicable To

  • • Functional encopresis
  • • Incontinence of nonorganic origin

Important Notes

  • • Ensure psychological factors are documented to support the use of F98.1.

Chronic idiopathic constipation with overflow incontinence

Billable Code
K59.04
Billable

Diagnostic Criteria

clinical:
  • • Rectal exam: Hard stool in vault
  • • Abdominal X-ray: Leach score >8
  • • Documented failure of polyethylene glycol trial

Applicable To

  • • Chronic constipation with overflow

Important Notes

  • • Ensure constipation is documented as the primary issue.
Ancillary Codes

Additional codes that may be used with this diagnosis

K56.41

Fecal impaction

Use when fecal impaction is present alongside encopresis.

Frequently Asked Questions

What is the ICD-10 code for encopresis?

The ICD-10 code for non-organic encopresis is F98.1, used when the condition is related to psychological factors without a physiological cause.

How do you code encopresis with constipation?

For encopresis with constipation, use K59.04 for chronic idiopathic constipation with overflow incontinence, and consider K56.41 if fecal impaction is present.

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