R15.0
R15.0: Incomplete defecation
Billable / specific codeICD-10-CM
R15.0 is a billable, specific ICD-10-CM code for incomplete defecation. It is valid for submission on a claim.
Check R15.0 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Other codes that can never be billed with R15.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- F98.1Encopresis not due to a substance or known physiological condition
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R15.0 is named in 14 Medicare coverage policies: 13 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A57067Billing and Coding: Outpatient Physical and Occupational Therapy Servicesnot covered
- A53058Billing and Coding: Home Health Physical Therapy
- A54095Billing and Coding: Nerve Conduction Studies and Electromyography
- A54969Billing and Coding: Nerve Conduction Studies and Electromyography
Alphabetic index entries that lead here
- Incomplete›defecation
Code history
Unchanged in every release from FY2024 to FY2027.