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K58 ICD-10-CM Code: Irritable bowel syndrome

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the digestive system (K00-K95) / Other diseases of intestines (K55-K64)

K58

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Irritable bowel syndrome

Irritable bowel syndrome

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
K5Other diseases of intestines (K55-K64)
K58Irritable bowel syndrome

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for K58 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for K58 in this effective period.

Related Child Codes

Official
K58.0Irritable bowel syndrome with diarrhea
K58.1Irritable bowel syndrome with constipation
K58.2Mixed irritable bowel syndrome
K58.8Other irritable bowel syndrome
K58.9Irritable bowel syndrome, unspecified

Includes

Official
  • irritable colon
  • spastic colon

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for K58 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for K58 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for K58 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for K58 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

K58 is the ICD-10-CM diagnosis code for irritable bowel syndrome. K58 sits in the ICD-10-CM chapter for diseases of the digestive system (k00-k95), within the section covering other diseases of intestines (k55-k64).

Header codes like K58 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at K58's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for K58 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • irritable colon
  • spastic colon

Child Codes

Code Hierarchy

K58Irritable bowel syndrome
K58Irritable bowel syndrome

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