Chronic anal fissure
ICD-10 K60.1 is a billable code used to indicate a diagnosis of chronic anal fissure.
Chronic anal fissure is a painful condition characterized by a tear in the anal mucosa that persists for more than six weeks. Clinically, patients often present with severe pain during and after bowel movements, which may be accompanied by bright red blood on the stool or toilet paper. The anatomy involved includes the anal canal, which is lined with sensitive mucosal tissue that can become damaged due to trauma, constipation, or other gastrointestinal conditions. Over time, chronic fissures may develop a fibrous tag or sentinel pile, indicating prolonged irritation and inflammation. Diagnostic considerations include a thorough history and physical examination, often supplemented by anoscopy to visualize the fissure directly. Differential diagnoses may include other anal conditions such as hemorrhoids or abscesses. Management typically involves conservative measures like dietary modifications, stool softeners, and topical analgesics, but surgical intervention may be necessary for refractory cases. Understanding the progression from acute to chronic fissure is crucial for effective treatment and prevention of complications.
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
K60.1 specifically covers chronic anal fissures that have persisted for more than six weeks. It does not include acute fissures, which are classified under K60.0.
K60.1 should be used when the anal fissure is chronic, characterized by ongoing symptoms and potential complications. If the fissure is acute or has not persisted beyond six weeks, K60.0 should be used instead.
Documentation should include a detailed history of symptoms, duration of the fissure, any previous treatments attempted, and findings from physical examination or anoscopy. Clear notes on the impact on the patient's quality of life and any associated conditions are also essential.
