Gastrointestinal malfunction arising from mental factors

This code signifies a functional gastrointestinal disorder where psychological or emotional factors are the primary contributors to symptoms. It encompasses conditions like irritable bowel syndrome (IBS) or functional dyspepsia when a clear organic cause is absent, and a strong mental health component is identified.

Apply this code when documentation explicitly links GI symptoms (e.g., abdominal pain, bloating, altered bowel habits) to psychological distress, anxiety, or other mental health conditions. It is appropriate when organic pathology has been ruled out or is deemed secondary to the psychological etiology.

• Ensure physician documentation clearly states the psychological origin of the GI symptoms.
• Do not use if a definitive organic GI disease (e.g., Crohn's disease, celiac disease) is diagnosed, even if psychological factors exacerbate it.
• Consider co-coding with a specific mental health diagnosis (e.g., anxiety disorder, depression) if documented.