Incomplete defecation

This code describes the sensation of incomplete emptying of the bowels after defecation, despite having passed stool. It indicates a persistent feeling that more stool needs to be evacuated, often leading to repeated attempts or discomfort.

Apply this code when documentation explicitly states "incomplete defecation," "tenesmus" (if specifically referring to the sensation of incomplete evacuation), or a similar complaint of unsatisfactory bowel emptying. This symptom may be associated with various underlying conditions but is coded here as a distinct complaint.

• Do not confuse with constipation (K59.0-), which refers to infrequent or difficult passage of stools.
• Ensure documentation clearly distinguishes incomplete defecation from fecal impaction (K56.41).
• Code this as a primary diagnosis if it is the chief complaint, or as a secondary diagnosis if it is a significant co-morbidity.