Anal fistula, complex, persistent
ICD-10 K60.322 is a billable code used to indicate a diagnosis of anal fistula, complex, persistent.
K60.322 refers to a complex, persistent anal fistula, which is an abnormal connection between the anal canal and the skin surrounding the anus. This condition often arises from complications of anal abscesses, inflammatory bowel disease, or trauma. Clinically, patients may present with symptoms such as persistent drainage, pain, and discomfort in the anal region, which can significantly affect their quality of life. The anatomy involved includes the anal sphincter complex, which may be compromised in complex fistulas, leading to incontinence or other complications. Disease progression can vary, with some patients experiencing recurrent infections or abscess formation. Diagnostic considerations include a thorough clinical examination, imaging studies such as MRI or endoanal ultrasound, and possibly a fistulogram to delineate the fistula's tract. Accurate diagnosis is crucial for determining the appropriate surgical intervention, which may involve fistulotomy, seton placement, or more complex reconstructive procedures.
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
K60.322 covers complex anal fistulas that are persistent and may involve multiple tracts or significant surrounding tissue. It is often associated with underlying conditions such as Crohn's disease or previous surgical interventions.
K60.322 should be used when the anal fistula is classified as complex and persistent, particularly when it involves significant anatomical structures or has a history of recurrent infections that complicate treatment.
Documentation should include a detailed description of the fistula's characteristics, any imaging studies performed, the patient's symptomatology, and the treatment plan. Surgical notes should clearly outline the complexity of the fistula and any associated procedures.
