K58.9 Irritable bowel syndrome without diarrhea

ICD10CM code

#### Name of the Condition
- Irritable Bowel Syndrome without Diarrhea (IBS-C)
- ICD-10 Code: K58.9

#### Summary
- Irritable Bowel Syndrome without diarrhea (IBS-C) is a common functional gastrointestinal disorder characterized by abdominal pain and changes in bowel habits without the occurrence of diarrhea. It involves chronic constipation, bloating, and discomfort.

#### Causes
- The exact cause is unknown, but factors such as genetics, altered gut-brain interaction, intestinal inflammation, and sensitivity to food or stress can contribute to symptom development.

#### Risk Factors
- Common risk factors include a family history of IBS, being younger than 50, having a history of stressful life events, and dietary habits high in processed foods or low in fiber.

#### Symptoms
- Patients often experience persistent constipation, abdominal pain or discomfort, bloating, and infrequent bowel movements that are usually difficult to pass.

#### Diagnosis
- Diagnosis is primarily clinical, involving a detailed medical history and a physical examination. Rome IV criteria are often used. Tests may include blood tests, stool tests, or colonoscopy to rule out other conditions.

#### Treatment Options
- Treatment often includes dietary changes such as increased fiber intake, medications like laxatives or antispasmodics, and lifestyle modifications. Psychological therapies can also be beneficial.

#### Prognosis and Follow-Up
- IBS-C is a chronic condition with fluctuating symptoms. While not life-threatening, it can significantly affect quality of life. Regular follow-ups help manage symptoms and monitor effectiveness of therapies.

#### Complications
- If untreated, IBS-C can lead to complications such as hemorrhoids due to straining or psychological stress due to persistent symptoms.

#### Lifestyle & Prevention
- Dietary changes like increasing fiber, staying hydrated, and regular exercise can manage symptoms. Stress reduction techniques and avoiding trigger foods can also help.

#### When to Seek Professional Help
- Seek medical attention if experiencing severe abdominal pain, unexpected weight loss, or symptoms that significantly disrupt daily life, indicating a potential need for treatment adjustments.

#### Additional Resources
- International Foundation for Gastrointestinal Disorders (IFFGD): [www.iffgd.org](https://www.iffgd.org)
- American College of Gastroenterology: [www.gi.org](https://www.gi.org)

#### Tips for Medical Coders
- Ensure to differentiate IBS without diarrhea (IBS-C) from other forms of IBS when coding, using K58.9 for IBS-C.
- Double-check patient records for specific symptoms to avoid misclassification and incorrect coding.

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