Fecal smearing

This code describes the involuntary or intentional smearing of feces, often in inappropriate places, by an individual who has achieved bowel control. It is typically observed in children or individuals with developmental or psychiatric disorders. This behavior is distinct from accidental soiling due to incontinence.

This code is appropriate when documentation clearly indicates fecal smearing as a presenting symptom or behavior. It is often used in conjunction with codes for underlying conditions such as encopresis, developmental delays, or behavioral disturbances. Documentation should specify the act of smearing rather than just general incontinence.

• Differentiate from encopresis (F98.1) or fecal incontinence (R15.0, R15.2, R15.9) which describe involuntary passage of stool without the smearing behavior.
• Always code the underlying cause or associated mental/behavioral disorder first, if known and documented.
• Ensure documentation specifies "smearing" and not just "soiling" to accurately apply this code.