Chronic idiopathic constipation
ICD-10 K59.04 is a billable code used to indicate a diagnosis of chronic idiopathic constipation.
Chronic idiopathic constipation (CIC) is a common gastrointestinal disorder characterized by infrequent bowel movements or difficulty in passing stools that persists for at least three months. Patients typically present with symptoms such as straining during defecation, hard or lumpy stools, and a sensation of incomplete evacuation. The condition is termed 'idiopathic' as the exact cause remains unknown, although it may be influenced by factors such as diet, lifestyle, and psychological stress. The anatomy involved primarily includes the colon and rectum, where motility issues can lead to stool retention. Disease progression can vary, with some patients experiencing intermittent episodes while others may have persistent symptoms that significantly impact quality of life. Diagnostic considerations include a thorough patient history, physical examination, and potentially additional tests such as colonoscopy to rule out other underlying conditions. The Rome IV criteria are often utilized for diagnosis, emphasizing the need for a comprehensive assessment to differentiate CIC from other forms of constipation.
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
K59.04 specifically covers chronic idiopathic constipation, which is characterized by infrequent bowel movements and difficulty in stool passage without identifiable physiological or structural abnormalities.
K59.04 should be used when the constipation is chronic and idiopathic, meaning no underlying cause has been identified after thorough evaluation. It is important to differentiate it from other constipation codes that may indicate specific causes.
Documentation should include a detailed patient history, symptom duration, frequency of bowel movements, and any treatments attempted. Additionally, evidence of ruling out other causes of constipation is crucial for supporting the diagnosis.
