ICD-10-CM Diagnosis code F98.1

Encopresis not due to a substance or known physiological condition

Code Details

Body System Mental disorders
Chronic Condition Yes

Coding Guidelines for F98.1

F98.1 is a valid ICD-10-CM diagnosis code meaning 'Encopresis not due to a substance or known physiological condition'.

It is also suitable for:

  • Functional encopresis
  • Incontinence of feces of nonorganic origin
  • Psychogenic encopresis

Purely Excluded Conditions

These diag codes should never be used at the same time as F98.1 because these conditions cannot occur together:

  • encopresis NOS (R15.-)

Complications & Comorbid Conditions (CC/MCC) Rules for F98.1

F98.1 is not a CC or MCC.

DRG Mapping Rules for F98.1

Diagnostic codes are the first step in the DRG mapping process.

The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is F98.1, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.

From there, check the subsections of the MDC listed. The patient will be mapped into the first subsection for which the treatment performed on the patient meet the listed requirements of that subsection.

DRG grouping rules are adjusted each year, so make sure to check the rules for the fiscal year of the patient's discharge date.

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