R15.1

R15.1: Fecal smearing

Billable / specific codeICD-10-CM

R15.1 is a billable, specific ICD-10-CM code for fecal smearing. It is valid for submission on a claim.

Check R15.1 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Fecal soiling

Excludes1 inherited from the categories above R15.1

A category’s note binds every code beneath it.

Written on R15: Fecal incontinence

fecal incontinence of nonorganic origin (F98.1)

Other codes that can never be billed with R15.1

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

R15.1 is named in 12 Medicare coverage policies: 11 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
A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A54969Billing and Coding: Nerve Conduction Studies and Electromyography
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy