F98.1
Billable codeEncopresis not due to a substance or known physiological condition
The ICD-10 code for encopresis not due to a substance or known physiological condition is F98.1.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- encopresis NOS (R15.-)
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Functional encopresis
- Incontinence of feces of nonorganic origin
- Psychogenic encopresis
Use additional code
This code represents an underlying condition. When a related manifestation is also present, coding convention calls for an additional code to be listed after this one.
- code to identify the cause of any coexisting constipation.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •If the associated manifestation or related condition noted above is also documented, an additional code should be reported alongside this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- F98.0Enuresis not due to a substance or known physiological condition
- F98.2Other feeding disorders of infancy and childhoodnon-billable header
- F98.3Pica of infancy and childhood
- F98.4Stereotyped movement disorders
- F98.5Adult onset fluency disorder
- F98.8Other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence
- F98.9Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence
- F98.1Encopresis not due to a substance or known physiological condition
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 3077
Associated MS-DRGs
F98.1 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.