Fecal Incontinence and Fecal Impaction

Effective October 1, 2010, subcategory 787.6, Incontinence of feces, has been expanded to create new codes for full incontinence of feces (787.60), incomplete defecation (787.61), fecal smearing (787.62) and fecal urgency (787.63). In addition, a new code has been created to uniquely describe fecal impaction (560.32) along with appropriate instructional notes that distinguish the new symptom codes from the codes for fecal impaction and constipation. Fecal incontinence can be caused by injury to one or both of the ring-like muscles at the end of the rectum called the anal internal and external sphincters...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains an ICD-9-CM revision effective October 1, 2010 affecting digestive-system symptom coding and the separate identification of fecal impaction. It is relevant to coders, CDI professionals, and clinicians who document bowel-control symptoms, because it discusses the scope of the updated subcategory, related exclusions, and the general clinical context for these conditions.

Why This Topic Matters

The update changes how fecal-related symptoms and impaction are represented in ICD-9-CM, so accurate familiarity helps support consistent documentation and code selection within the affected digestive-system category.

Article Sections

  1. ICD-9-CM code update effective October 1, 2010

    Introduces the revision to the digestive-system symptom category and the addition of a separate code for fecal impaction. The section frames the scope of the updated terminology and related instructional notes.

  2. Clinical background on fecal incontinence

    Summarizes general causes, mechanisms, and treatment approaches for fecal incontinence. The content provides clinical context for understanding the symptom group addressed by the code update.

  3. Clinical background on fecal impaction

    Describes fecal impaction at a high level, including common contributing factors and general treatment considerations. This section supports understanding of the separate impaction concept referenced in the coding update.

  4. ICD-9-CM code listing and instructional notes

    Presents the revised digestive-system symptom codes and the related impaction code within the ICD-9-CM structure. It also includes the exclusions and deletion notice associated with the update.

What You Will Learn

  • What the article covers in the ICD-9-CM digestive symptom area
  • How the article frames fecal incontinence and fecal impaction clinically
  • What kinds of coding update material are discussed, including exclusions and code restructuring
  • Which code-set area and effective date the article focuses on

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation improvement specialists
  • Healthcare providers documenting bowel symptoms
  • Revenue cycle professionals

Codes Discussed

  • ICD-9-CM: 787.60
  • ICD-9-CM: 787.61
  • ICD-9-CM: 787.62
  • ICD-9-CM: 787.63
  • ICD-9-CM: 560.32

Code Ranges Discussed

  • ICD-9-CM: 564.00-564.09

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