Abuse of laxatives

This code represents the non-medical, excessive, or chronic use of laxatives, typically for purposes such as weight loss, perceived detoxification, or to induce bowel movements when not clinically indicated. It signifies a pattern of misuse that can lead to electrolyte imbalances, dehydration, and gastrointestinal dysfunction. This is distinct from appropriate therapeutic use for constipation.

Assign this code when documentation clearly indicates a patient's self-reported or clinically observed abuse of laxatives. This includes scenarios where laxative use is contributing to or causing other medical conditions, such as hypokalemia or metabolic alkalosis. Supporting documentation should specify the non-therapeutic nature and excessive quantity or frequency of laxative intake.

• Differentiate from prescribed laxative use for legitimate medical conditions; this code is for abuse/misuse.
• Consider co-occurring eating disorders (e.g., bulimia nervosa) which often involve laxative abuse, and code them accordingly.
• Look for documentation of electrolyte disturbances or dehydration directly linked to laxative misuse as supporting evidence.