if the mechanism involves constipation that cannot be explained by other medical condi-
tions. Fecal incontinence related to other me dical conditions (e.g., chronic diarrhea, spina
bifida, anal stenosis) would not warrant a DSM-5 diagnosis of encopresis.
Comorbidity
Urinary tract infections can be comorbid with encopresis and are more common in females.
Other Specified Elimination Disorder
 
This category applies to presentations in which symptoms characteristic of an elimination
disorder that cause clinically significant distress or impairment in social, occupational, or
other important areas of functioning predominate but do not meet the full criteria for any of
the disorders in the elimination disorders di agnostic class. The other specified elimination
disorder category is used in situations in which the clinician chooses to communicate the
specific reason that the presentation does not meet the criteria for any specific elimination
disorder. This is done by recording “other s pecified elimination disorder” followed by the
specific reason (e.g., “low-frequency enuresis”).
Coding note:  Code 788.39 (N39.498)  for other specified elimi nation disorder with urinary
symptoms; 787.60 (R15.9)  for other specified elimination disorder with fecal symptoms.