Encopresis

This code represents encopresis, a disorder characterized by the repeated passage of feces into inappropriate places (e.g., clothing, floor) by a child who is at least four years old (or has a mental age of at least four years). This can be involuntary or, less commonly, intentional, and is not due to a physiological effect of a substance or a general medical condition, except through a mechanism involving constipation and overflow incontinence.

Use this code when documenting a diagnosis of encopresis in a pediatric patient meeting the age criteria and exhibiting the described fecal incontinence. Documentation should clearly indicate the repeated nature of the inappropriate defecation and rule out other primary medical causes for the incontinence.

• Differentiate between encopresis with and without constipation and overflow incontinence, as this distinction may be relevant for treatment planning.
• Ensure the patient's age or developmental level is documented to support the diagnosis.
• Consider co-occurring behavioral or psychological conditions that may contribute to or be associated with encopresis.