Rectal fistula, complex, recurrent
ICD-10 K60.423 is a billable code used to indicate a diagnosis of rectal fistula, complex, recurrent.
K60.423 refers to a complex, recurrent rectal fistula, which is an abnormal connection between the rectum and surrounding tissues. Clinically, patients may present with symptoms such as persistent drainage, pain, and recurrent infections. The anatomy involved typically includes the rectal wall and adjacent structures, which may be compromised due to inflammatory bowel disease, previous surgeries, or trauma. Disease progression can lead to significant morbidity, including abscess formation and fecal incontinence if left untreated. Diagnostic considerations include a thorough clinical examination, imaging studies such as MRI or endoscopy, and possibly fistulography to assess the extent and complexity of the fistula. Accurate diagnosis is crucial for determining the appropriate surgical intervention and management plan, as recurrent fistulas often require more complex surgical techniques compared to simple fistulas.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K60.423 covers complex, recurrent rectal fistulas that may arise from conditions such as Crohn's disease, radiation therapy, or surgical complications. It is characterized by multiple tracts or involvement of surrounding tissues.
K60.423 should be used when the rectal fistula is recurrent and complex, requiring advanced surgical intervention, as opposed to simpler codes that describe non-recurrent or uncomplicated fistulas.
Documentation should include a detailed history of the patient's condition, previous treatments, imaging studies, and any complications that have arisen from the fistula. Surgical notes and follow-up assessments are also critical.
