2025 ICD-10-CM code K58.0
(Active) Effective Date: N/A Diseases of the digestive system - Other diseases of intestines (K55-K64) Diseases of the digestive system (K00-K95) Feed
Irritable bowel syndrome with diarrhea.
Medical necessity for services related to K58.0 is established by the presence of chronic or recurrent symptoms of IBS-D that impact the patient's quality of life.This may include documentation of the severity and frequency of abdominal pain, bloating, and diarrhea, along with the impact on daily activities. The medical record should reflect that other potential causes for the symptoms have been considered and ruled out.
Diagnosis and management of IBS typically falls under gastroenterologists or primary care physicians.They are responsible for evaluating symptoms, ruling out other conditions, and recommending appropriate treatment strategies, which might include dietary changes, medication, and stress management techniques.
In simple words: Irritable bowel syndrome (IBS) with diarrhea is a chronic condition affecting the large intestine. It causes recurring stomach pain, bloating, and frequent, loose bowel movements.
A disorder characterized by chronic or recurrent abdominal pain, bloating, mucus in the feces, and an erratic disturbance of defecation, often accompanied by diarrhea. This condition involves chronic or recurrent colonic symptoms without a clear etiology.
Example 1: A 30-year-old female presents with chronic abdominal pain, bloating, and frequent episodes of diarrhea. After diagnostic testing to exclude other conditions, she is diagnosed with irritable bowel syndrome with diarrhea (IBS-D)., A 45-year-old male experiences recurrent episodes of abdominal cramping and diarrhea, particularly after meals. He undergoes a colonoscopy, which reveals no structural abnormalities.Based on his symptoms and the absence of other findings, he receives a diagnosis of K58.0., A 25-year-old individual reports chronic, intermittent diarrhea along with abdominal discomfort and bloating. Their doctor considers IBS as a possible diagnosis and recommends further evaluation to confirm the presence of IBS with diarrhea (K58.0).
Documentation should include details about the frequency and consistency of bowel movements, associated symptoms like abdominal pain and bloating, the duration of symptoms, and any diagnostic tests performed (e.g., stool studies, colonoscopy) to rule out other conditions. The physician's assessment and treatment plan should also be documented.
- Specialties:Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home