MCMCB Pro
K59

K59Other functional intestinal disorders

Non-billable headerICD-10-CM

K59 is a non-billable header ICD-10-CM code for other functional intestinal disorders. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • change in bowel habit NOS (R19.4)
  • intestinal malabsorption (K90.-)
  • psychogenic intestinal disorders (F45.8)

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • functional disorders of stomach (K31.-)

Other codes that can never be billed with K59

These codes carry an Excludes1 note pointing at K59. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K59 alone.

  • R19.4Change in bowel habit
  • R19.7Diarrhea, unspecified
  • K52.9Noninfective gastroenteritis and colitis, unspecified

Risk adjustment

K59 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead K59

7 child codes. Green means billable.

Questions about K59

Is K59 a billable ICD-10-CM code?
No. K59 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K59 sit in the tabular list?
Diseases of the digestive system (K00-K95), in the block Other diseases of intestines (K55-K64).
What cannot be coded together with K59?
K59 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.