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Home/Diagnosis/ICD-10 Coding for Opioid-Induced Constipation

ICD-10 Coding for Opioid-Induced Constipation

K59.03
T40.4X5A

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

Also Known as:
OIC
Drug-induced constipation due to opioids
narcotic-induced constipation
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Key Information: ICD-10 Coding for Opioid-Induced Constipation

Essential facts and insights about ICD-10 Coding for Opioid-Induced Constipation

Use ICD-10 code K59.03 for drug-induced constipation, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Drug-induced constipation

Billable Code
K59.03
Billable

Diagnostic Criteria

clinical:
  • Constipation onset within 14 days of opioid initiation
documentation:
  • BFI score ≥28.8 and lack of response to laxatives

Applicable To

  • • Opioid-induced constipation

Important Notes

  • • Ensure documentation specifies the opioid and the temporal relationship to constipation.

Adverse effect of synthetic narcotics

Non-Billable
T40.4X5A
Non-Billable

Diagnostic Criteria

clinical:
  • Presence of opioid prescription
documentation:
  • Temporal relationship to constipation

Applicable To

  • • Adverse effect of fentanyl

Important Notes

  • • Ensure the specific narcotic is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

T40.4X5A

Adverse effect of synthetic narcotics

Use to specify the narcotic causing the constipation.

Frequently Asked Questions

What is the ICD-10 code for opioid-induced constipation?

The ICD-10 code for opioid-induced constipation is K59.03, which should be used alongside T40.4X5A to specify the narcotic causing the effect.

How do you document opioid-induced constipation?

Document the specific opioid, onset of constipation, BFI score, and response to laxatives to support coding for opioid-induced constipation.

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