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ICD-10 Guide
ICD-10 CodesK59.2

K59.2

Billable

Neurogenic bowel, not elsewhere classified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K59.2 is a billable code used to indicate a diagnosis of neurogenic bowel, not elsewhere classified.

Key Diagnostic Point:

Neurogenic bowel, not elsewhere classified, refers to bowel dysfunction resulting from neurological conditions that impair the normal functioning of the gastrointestinal tract. This condition can arise from various neurological disorders, including spinal cord injuries, multiple sclerosis, and other diseases affecting the central nervous system. Clinically, patients may present with symptoms such as constipation, fecal incontinence, or altered bowel habits due to disrupted nerve signals that control bowel motility and sensation. The anatomy involved primarily includes the colon, rectum, and anal sphincter, which are innervated by the autonomic nervous system. Disease progression can vary; some patients may experience gradual worsening of symptoms, while others may have sudden changes following neurological events. Diagnostic considerations include a thorough patient history, neurological examination, and potentially imaging studies or motility tests to assess bowel function and rule out other gastrointestinal disorders. Understanding the underlying neurological condition is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Neurology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related ICD-10 Codes

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Neurogenic bowel significantly impacts patient quality of life and can lead to complications such as bowel obstruction or infections. Understanding the prevalence of neurogenic bowel in populations with spinal cord injuries or neurological disorders is essential for healthcare planning. Effective management can improve patient outcomes and reduce healthcare utilization, emphasizing the need for quality measures that address bowel health in these populations.

ICD-9 vs ICD-10

Neurogenic bowel significantly impacts patient quality of life and can lead to complications such as bowel obstruction or infections. Understanding the prevalence of neurogenic bowel in populations with spinal cord injuries or neurological disorders is essential for healthcare planning. Effective management can improve patient outcomes and reduce healthcare utilization, emphasizing the need for quality measures that address bowel health in these populations.

Reimbursement & Billing Impact

reimbursement and to utilize appropriate modifiers when necessary. Regular audits of coding practices can help mitigate risks associated with K59.2 billing.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K59.2?

K59.2 encompasses bowel dysfunction due to neurological causes, including conditions like spinal cord injury, multiple sclerosis, and other central nervous system disorders that disrupt normal bowel function.

When should K59.2 be used instead of related codes?

K59.2 should be used when bowel dysfunction is specifically attributed to a neurological condition and cannot be classified under other gastrointestinal codes. It is essential to document the neurological diagnosis clearly.

What documentation supports K59.2?

Documentation should include a detailed patient history, neurological assessment findings, and any diagnostic tests that confirm the neurogenic origin of bowel symptoms. Clear linkage between the neurological condition and bowel dysfunction is necessary.