Irritable bowel syndrome with constipation
ICD-10 K58.1 is a billable code used to indicate a diagnosis of irritable bowel syndrome with constipation.
Irritable bowel syndrome with constipation (IBS-C) is a functional gastrointestinal disorder characterized by chronic abdominal pain and altered bowel habits, specifically constipation. The condition affects the large intestine, leading to symptoms such as infrequent bowel movements, hard or lumpy stools, and abdominal discomfort. The pathophysiology of IBS-C is complex and may involve dysregulation of the gut-brain axis, altered gut motility, and visceral hypersensitivity. Patients often experience a fluctuating course of symptoms, with periods of exacerbation and remission. Diagnostic considerations for IBS-C include a thorough clinical history, exclusion of organic causes through laboratory tests and imaging, and the application of diagnostic criteria such as the Rome IV criteria. The diagnosis is primarily clinical, as there are no definitive laboratory tests for IBS-C. Treatment typically involves dietary modifications, pharmacological interventions such as laxatives or medications specifically for IBS-C, and lifestyle changes aimed at symptom management.
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
K58.1 specifically covers irritable bowel syndrome with predominant constipation, characterized by symptoms such as infrequent bowel movements, straining during defecation, and abdominal pain that improves with bowel movements. It is essential to differentiate this from other gastrointestinal disorders that may present with similar symptoms.
K58.1 should be used when the patient presents with symptoms of IBS specifically with constipation as the predominant feature. It is crucial to utilize this code when constipation is a significant aspect of the patient's symptomatology, distinguishing it from K58.0, which does not include constipation.
Documentation for K58.1 should include a detailed patient history, symptom diary, and evidence of chronic constipation. Clinical notes should reflect the frequency and nature of bowel movements, abdominal pain characteristics, and any treatments attempted, including dietary changes and medications.
