K58.1
K58.1: Irritable bowel syndrome with constipation
Billable / specific codeICD-10-CM
K58.1 is a billable, specific ICD-10-CM code for irritable bowel syndrome with constipation. It is valid for submission on a claim.
Check K58.1 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K58.1 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Alphabetic index entries that lead here
- Irritable, irritability›bowel›with›constipation
- Syndrome›irritable›bowel›with›constipation
Code history
Unchanged in every release from FY2024 to FY2027.