F98.1

Billable

Encopresis not due to a substance or known physiological condition

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Involuntary or intentional passage of feces in inappropriate places in children or adults that is not caused by medical conditions, medications, or other substances.

Coding Tips

•Confirm that organic causes such as constipation, Hirschsprung disease, or other GI conditions have been excluded
•Document whether the behavior is intentional or involuntary, and the frequency of episodes

Excludes 1 — Do NOT code together

encopresis NOS (R15.-)

Use Additional Code

code to identify the cause of any coexisting constipation.

Code Hierarchy

└F98Other behavioral and emotional disorders with onset usually occurring in childhood and adolescence └F98.1Encopresis not due to a substance or known physiological condition

└F98.1Encopresis not due to a substance or known physiological condition