ICD-10 Coding for Inflammatory Bowel Syndrome(K58.0, K58.1, K58.2, K58.9)
Complete ICD-10-CM coding and documentation guide for Inflammatory Bowel Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Inflammatory Bowel Syndrome
K58-K58.9Primary Range
Irritable bowel syndrome
This range includes all subtypes of IBS, such as IBS with diarrhea, constipation, and mixed types.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| K58.0 | Irritable bowel syndrome with diarrhea | Use when IBS is confirmed with diarrhea as the predominant symptom. |
|
| K58.1 | Irritable bowel syndrome with constipation | Use when IBS is confirmed with constipation as the predominant symptom. |
|
| K58.2 | Mixed irritable bowel syndrome | Use when IBS is confirmed with both diarrhea and constipation symptoms. |
|
| K58.9 | Irritable bowel syndrome, unspecified | Use when IBS is diagnosed but subtype is not specified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for inflammatory bowel syndrome
Essential facts and insights about Inflammatory Bowel Syndrome
Primary ICD-10-CM Codes for inflammatory bowel syndrome
Decision Criteria
clinical Criteria
- Diarrhea predominant in bowel habits
K58.1 - Irritable bowel syndrome with constipation
Use when IBS is confirmed with constipation as the predominant symptom.
Applicable To
- IBS-C
Excludes
- Functional constipation (K59.0)
Clinical Validation Requirements
- Rome IV criteria for IBS-C
- Symptoms of constipation predominant
Coding Notes
Ensure documentation specifies constipation as predominant.
K58.2 - Mixed irritable bowel syndrome
Use when IBS is confirmed with both diarrhea and constipation symptoms.
Applicable To
- IBS-M
Clinical Validation Requirements
- Rome IV criteria for IBS-M
- Symptoms of both diarrhea and constipation
Coding Notes
Ensure documentation specifies mixed symptoms.
K58.9 - Irritable bowel syndrome, unspecified
Use when IBS is diagnosed but subtype is not specified.
Clinical Validation Requirements
- General IBS symptoms without specific subtype
Coding Notes
Avoid use when subtype can be specified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Inflammatory Bowel Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code K58.0.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Use templates with Rome IV criteria, Educate providers on documentation standards
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Could trigger audits due to lack of specificity., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use specific subtype codes (K58.0, K58.1, K58.2) when documentation supports it.
Impact
Frequent use of K58.9 without justification.
Mitigation Strategy
Educate on importance of subtype documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Inflammatory Bowel Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Inflammatory Bowel Syndrome
Use these documentation templates to ensure complete and accurate documentation for Inflammatory Bowel Syndrome. These templates include all required elements for proper coding and billing.
Chronic IBS with alternating symptoms
Specialty: GastroenterologyRequired Elements
- Symptom duration
- Predominant symptom
- Rome IV criteria
- Exclusion of IBD
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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