Fecal impaction
ICD-10 K56.41 is a billable code used to indicate a diagnosis of fecal impaction.
Fecal impaction is a condition characterized by the accumulation of hardened stool in the rectum or colon, leading to a blockage that prevents normal bowel movements. Clinically, patients may present with symptoms such as abdominal pain, distension, nausea, vomiting, and a decreased frequency of bowel movements. The anatomy involved primarily includes the large intestine, particularly the rectum and sigmoid colon, where fecal matter can become compacted due to various factors, including dehydration, prolonged immobility, or certain medications. Disease progression can lead to more severe complications such as bowel obstruction, perforation, or infection if not addressed promptly. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies such as abdominal X-rays or CT scans to confirm the presence of fecal impaction. Treatment typically involves manual disimpaction, enemas, or laxatives, and addressing underlying causes to prevent recurrence.
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
K56.41 specifically covers fecal impaction, which may arise from chronic constipation, neurological disorders affecting bowel function, or medication side effects. It does not cover other types of bowel obstruction or constipation without impaction.
K56.41 should be used when there is clear evidence of fecal impaction, as opposed to K59.00 (Constipation, unspecified) which does not indicate an obstruction. Accurate diagnosis is essential for appropriate code selection.
Documentation should include a detailed patient history, physical examination findings, imaging results confirming fecal impaction, and a treatment plan outlining interventions performed.
