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Home/Diagnosis/ICD-10 Coding for Irritable Bowel Syndrome

ICD-10 Coding for Irritable Bowel Syndrome

K58.0
K58.1
K58.2

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

Also Known as:
IBS
Spastic Colon
Irritable Colon
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Key Information: ICD-10 Coding for Irritable Bowel Syndrome

Essential facts and insights about ICD-10 Coding for Irritable Bowel Syndrome

Use ICD-10 code K58.0 for irritable bowel syndrome with diarrhea, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Irritable bowel syndrome with diarrhea

Billable Code
K58.0
Billable

Diagnostic Criteria

clinical:
  • Diarrhea predominates in stool pattern.
documentation:
  • Rome IV criteria are met and documented.

Applicable To

  • • IBS-D

Important Notes

  • • Ensure documentation specifies diarrhea predominance to avoid defaulting to unspecified IBS.

Irritable bowel syndrome with constipation

Billable Code
K58.1
Billable

Diagnostic Criteria

clinical:
  • Constipation predominates in stool pattern.
documentation:
  • Rome IV criteria are met and documented.

Applicable To

  • • IBS-C

Important Notes

  • • Ensure documentation specifies constipation predominance to avoid defaulting to unspecified IBS.

Mixed irritable bowel syndrome

Billable Code
K58.2
Billable

Diagnostic Criteria

clinical:
  • Both diarrhea and constipation are present in IBS symptoms.
documentation:
  • Rome IV criteria are met and documented.

Applicable To

  • • IBS-M

Important Notes

  • • Ensure documentation specifies mixed symptomatology to avoid defaulting to unspecified IBS.

Irritable bowel syndrome, unspecified

Billable Code
K58.9
Billable

Diagnostic Criteria

documentation:
  • Rome IV criteria are met and documented.

Applicable To

  • • IBS without specified subtype

Important Notes

  • • Use only when subtype is not documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

F41.9

Anxiety disorder, unspecified

Use when anxiety is documented as a comorbidity exacerbating IBS symptoms.

F45.8

Other somatoform disorders

Use when psychological factors are documented as influencing IBS symptoms.

Frequently Asked Questions

What is the ICD-10 code for IBS with diarrhea?

The ICD-10 code for irritable bowel syndrome with diarrhea is K58.0. It is used when diarrhea predominates in IBS symptoms.

How do you code IBS with constipation?

For IBS with constipation, use ICD-10 code K58.1. This code applies when constipation is the predominant symptom.

When should K58.9 be used for IBS?

Use K58.9 for IBS when the subtype is not specified in the documentation. It is the code for unspecified IBS.

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