Irritable bowel syndrome
Chapter 11:Diseases of the digestive system
ICD-10 K58 is a used to indicate a diagnosis of irritable bowel syndrome.
Irritable bowel syndrome (IBS) is a common gastrointestinal disorder characterized by a group of symptoms that typically include abdominal pain, bloating, and altered bowel habits, which may manifest as diarrhea, constipation, or a combination of both. The exact etiology of IBS remains unclear, but it is believed to involve a complex interplay of gut-brain interactions, dysregulation of gastrointestinal motility, and visceral hypersensitivity. The anatomy involved primarily includes the intestines, particularly the colon, which may exhibit abnormal contractions. Disease progression can vary widely among individuals, with symptoms often fluctuating in intensity and frequency. Diagnostic considerations for IBS include a thorough patient history, symptom assessment, and exclusion of other gastrointestinal conditions through tests such as stool studies, imaging, and endoscopy. The Rome IV criteria are commonly used to diagnose IBS, requiring the presence of abdominal pain at least one day per week in the last three months, associated with changes in stool frequency or form. IBS is a chronic condition that can significantly impact quality of life, necessitating a multidisciplinary approach to management, including dietary modifications, pharmacotherapy, and psychological support.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K58 covers Irritable Bowel Syndrome, which includes subtypes such as IBS with predominant diarrhea (IBS-D), IBS with predominant constipation (IBS-C), and mixed IBS (IBS-M). Each subtype is characterized by specific bowel habit changes and symptom patterns.
K58 should be used when a patient presents with symptoms consistent with IBS, particularly when other gastrointestinal conditions have been ruled out. It is important to differentiate IBS from inflammatory bowel disease (IBD) or other functional gastrointestinal disorders.
Documentation for K58 should include a detailed patient history, symptom diary, results from any relevant diagnostic tests, and a clear statement of the diagnosis based on the Rome IV criteria.
