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Home/Diagnosis/ICD-10 Coding for Severe Constipation

ICD-10 Coding for Severe Constipation

K59.04
K59.03
K56.41

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

Also Known as:
Chronic Constipation
Idiopathic Constipation
Drug-Induced Constipation
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Key Information: ICD-10 Coding for Severe Constipation

Essential facts and insights about ICD-10 Coding for Severe Constipation

Use ICD-10 code K59.04 for chronic idiopathic constipation, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic idiopathic constipation

Billable Code
K59.04
Billable

Diagnostic Criteria

clinical:
  • • ROME IV criteria met for chronic constipation
documentation:
  • • Documented duration of symptoms ≥3 months

Applicable To

  • • Chronic functional constipation

Important Notes

  • • Ensure chronicity and idiopathic nature are well documented.

Drug-induced constipation

Billable Code
K59.03
Billable

Diagnostic Criteria

clinical:
  • • Temporal relationship between drug initiation and symptom onset
  • • Naranjo Scale ≥4

Applicable To

  • • Constipation due to medication

Important Notes

  • • Ensure the specific drug and its adverse effect are documented.

Fecal impaction

Billable Code
K56.41
Billable

Diagnostic Criteria

clinical:
  • • Abdominal X-ray showing fecal mass ≥5cm
  • • DRE confirmation

Applicable To

  • • Large, immobile stool mass

Important Notes

  • • Ensure imaging or DRE findings are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R15.0

Incomplete defecation

Use with K59.04 if there is a sensation of incomplete evacuation.

Frequently Asked Questions

What is the ICD-10 code for severe constipation?

The ICD-10 code for severe constipation depends on the type: K59.04 for chronic idiopathic constipation, K59.03 for drug-induced, and K56.41 for fecal impaction.

How do you document chronic idiopathic constipation?

Document chronic idiopathic constipation by noting symptom duration (≥3 months), stool type, and ROME IV criteria. Include treatment history and response.

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