2025 ICD-10-CM code K58.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the digestive system - Other diseases of intestines Diseases of the digestive system Feed
Irritable bowel syndrome without diarrhea.
Medical necessity for treatment of K58.9 is established when the patient's symptoms significantly impact their quality of life, daily activities, and overall well-being.The diagnosis should be supported by thorough documentation excluding other possible etiologies.
The clinical responsibility for a patient with K58.9 includes a thorough history and physical exam, ruling out other potential causes of the symptoms, and developing a management plan that may include dietary changes, medication, stress management techniques, or referral to other specialists as needed.
In simple words: Irritable bowel syndrome (IBS) is a condition causing stomach pain and changes in bowel habits. With this type of IBS, constipation is the main problem, not diarrhea.
Irritable bowel syndrome (IBS) without diarrhea is a functional gastrointestinal disorder characterized by recurrent abdominal pain or discomfort associated with altered bowel habits, but without the predominant symptom of diarrhea.The diagnosis is one of exclusion, meaning other potential causes of the symptoms must be ruled out.
Example 1: A 35-year-old female presents with chronic abdominal pain and constipation,with symptoms lasting for over 3 months.Physical examination and laboratory tests are unremarkable.A diagnosis of K58.9 is assigned after ruling out other conditions such as inflammatory bowel disease and celiac disease., A 40-year-old male patient reports intermittent abdominal cramping and infrequent bowel movements, accompanied by bloating. He denies diarrhea.After a complete evaluation, including colonoscopy,K58.9 is diagnosed., A 28-year-old female with a history of anxiety and stress presents with abdominal pain and infrequent, hard stools. The symptoms are significantly impacting her daily life. After excluding other potential causes, a diagnosis of K58.9 is given.Management includes stress management therapy alongside dietary modifications.
Detailed history of presenting symptoms including onset, duration, frequency, severity, and any associated symptoms (e.g., bloating, gas, nausea).Results of relevant physical examinations, laboratory investigations (e.g., complete blood count, inflammatory markers), and imaging studies (e.g., colonoscopy, abdominal imaging) to rule out organic pathology.Documentation supporting the diagnosis of exclusion.Record of treatment plan and patient response to treatment.
** This code should only be used when all other causes of similar symptoms have been excluded.Accurate documentation is crucial for appropriate reimbursement.
- Payment Status: Active
- Specialties:Gastroenterology, Internal Medicine, Family Medicine
- Place of Service:Office, Outpatient Hospital, Urgent Care Facility