K59 ICD-10-CM Code: Other functional intestinal disorders
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)
K59
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceOther functional intestinal disorders
Other functional intestinal disorders
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for K59 in this effective period.
Excludes 2
Official- functional disorders of stomach (K31.-)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for K59 in this effective period.
Excludes 1
Official- change in bowel habit NOS (R19.4)
- intestinal malabsorption (K90.-)
- psychogenic intestinal disorders (F45.8)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for K59 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for K59 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for K59 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
K59 is the ICD-10-CM diagnosis code for other functional intestinal disorders. K59 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 K59 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 K59'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 K59 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Excludes 1, Do NOT code together
Excludes 2, Not included here, may code separately
- functional disorders of stomach (K31.-)