Outlet dysfunction constipation
ICD-10 K59.02 is a billable code used to indicate a diagnosis of outlet dysfunction constipation.
Outlet dysfunction constipation is a subtype of constipation characterized by difficulty in the evacuation of stool due to dysfunction at the anal outlet. This condition often involves the pelvic floor muscles and the anal sphincter, which may not relax appropriately during defecation, leading to straining and incomplete evacuation. Patients typically present with symptoms such as infrequent bowel movements, hard stools, abdominal discomfort, and a sensation of blockage. The anatomy involved includes the rectum, anal canal, and pelvic floor musculature. Disease progression can vary; if untreated, it may lead to complications such as fecal impaction or hemorrhoids. Diagnostic considerations include a thorough patient history, physical examination, and potentially, specialized tests such as anorectal manometry or defecography to assess the function of the pelvic floor and anal sphincter. Identifying outlet dysfunction is crucial for appropriate management and may involve dietary modifications, pelvic floor therapy, or surgical interventions in severe cases.
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
K59.02 specifically covers outlet dysfunction constipation, which may include conditions such as pelvic floor dysfunction, rectocele, and anal sphincter dysfunction. It is characterized by difficulty in stool passage due to mechanical or functional issues at the anal outlet.
K59.02 should be used when the constipation is specifically due to outlet dysfunction, as opposed to other types such as K59.00 (constipation, unspecified) or K59.01 (slow transit constipation). Proper assessment of the patient's symptoms and diagnostic findings is essential for accurate code selection.
Documentation should include a detailed history of bowel habits, physical examination findings, and results from any diagnostic tests performed, such as anorectal manometry or imaging studies. Clear documentation of the patient's symptoms and the impact on their quality of life is also important.
