Fecal impaction

This code signifies a severe form of constipation where a hardened mass of stool becomes lodged in the rectum or colon, preventing normal bowel movements. It often results from prolonged constipation and can lead to significant discomfort, abdominal pain, and sometimes paradoxical diarrhea.

Apply this code when documentation clearly indicates the presence of a hardened fecal mass obstructing the bowel. This diagnosis is typically supported by physical examination findings (e.g., palpable abdominal mass, rectal exam) and patient history of severe constipation or inability to pass stool.

• Differentiate from general constipation (K59.0x) which does not involve a hardened, impacted mass.
• Review documentation for specific location if available (e.g., rectum, colon) as this may influence further specificity if available in other codes.
• Consider sequencing if an underlying cause of the impaction is also documented and being treated.