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ICD-10 Guide
ICD-10 CodesF55.2

F55.2

Billable

Abuse of laxatives

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F55.2 is a billable code used to indicate a diagnosis of abuse of laxatives.

Key Diagnostic Point:

Abuse of laxatives refers to the excessive and inappropriate use of laxative medications, often associated with eating disorders such as anorexia nervosa and bulimia nervosa. Individuals may misuse laxatives to induce weight loss or to control body weight, leading to significant health complications. This behavior can result in electrolyte imbalances, dehydration, gastrointestinal dysfunction, and dependency on laxatives for bowel movements. The condition is often linked to psychological factors, including anxiety, depression, and low self-esteem, which can exacerbate the cycle of abuse. Clinicians must assess the underlying motivations for laxative use and address any co-occurring mental health disorders. Treatment typically involves a multidisciplinary approach, including nutritional counseling, psychotherapy, and medical management to restore normal bowel function and address any physical health issues resulting from laxative abuse.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between laxative abuse and legitimate medical use.
  • Identifying co-occurring mental health disorders.
  • Understanding the psychological motivations behind laxative abuse.
  • Documenting the severity and duration of laxative use.

Audit Risk Factors

  • Inadequate documentation of the patient's laxative use history.
  • Failure to document co-occurring mental health conditions.
  • Lack of evidence for medical necessity of laxative prescriptions.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed mental health assessments, including history of eating disorders and laxative use.

Common Clinical Scenarios

Patients presenting with anxiety, depression, or eating disorders who misuse laxatives.

Billing Considerations

Consideration of comorbid conditions and the psychological impact of laxative abuse.

Gastroenterology

Documentation Requirements

Comprehensive gastrointestinal evaluations and documentation of bowel habits.

Common Clinical Scenarios

Patients with gastrointestinal complaints related to laxative abuse.

Billing Considerations

Monitoring for electrolyte imbalances and gastrointestinal complications.

Coding Guidelines

Inclusion Criteria

Use F55.2 When
  • According to ICD
  • 10 guidelines, F55
  • 2 should be used when there is clear evidence of laxative abuse without a legitimate medical indication
  • Documentation must support the diagnosis, including patient history and any related mental health conditions

Exclusion Criteria

Do NOT use F55.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits to monitor patients with laxative abuse.

Documentation Requirements

Document patient history, current symptoms, and treatment plan.

Specialty Considerations

Psychiatric evaluations may require additional documentation of mental health assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of laxative abuse, facilitating better tracking of this behavior and its associated health risks. It emphasizes the need for comprehensive documentation and understanding of the psychological aspects of the condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of laxative abuse, facilitating better tracking of this behavior and its associated health risks. It emphasizes the need for comprehensive documentation and understanding of the psychological aspects of the condition.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of laxative abuse, facilitating better tracking of this behavior and its associated health risks. It emphasizes the need for comprehensive documentation and understanding of the psychological aspects of the condition.

Resources

Clinical References

  • •
    National Eating Disorders Association

Coding & Billing References

  • •
    National Eating Disorders Association

Frequently Asked Questions

What are the primary indicators of laxative abuse?

Primary indicators include excessive use of laxatives, gastrointestinal distress, electrolyte imbalances, and psychological symptoms such as anxiety or depression.