Rectal fistula
ICD-10 K60.4 is a used to indicate a diagnosis of rectal fistula.
K60.4 refers to a rectal fistula, which is an abnormal connection between the rectum and the skin or another organ. Clinically, patients may present with symptoms such as recurrent anal abscesses, discharge of pus or fecal matter from the skin, and pain during bowel movements. The anatomy involved includes the rectum, anal canal, and surrounding tissues, which can become inflamed or infected, leading to the formation of a fistula. Disease progression can vary; if left untreated, a rectal fistula may lead to chronic infection, skin irritation, and significant discomfort. Diagnostic considerations include a thorough history and physical examination, imaging studies such as MRI or ultrasound, and possibly endoscopy to assess the extent of the fistula. Accurate diagnosis is crucial for determining the appropriate surgical intervention, which may include fistulotomy or seton placement, depending on the complexity and location of the fistula.
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
K60.4 specifically covers rectal fistulas, which may arise from conditions such as Crohn's disease, diverticulitis, or following surgical procedures. The diagnostic criteria include the presence of an abnormal tract connecting the rectum to the skin or other structures.
K60.4 should be used when there is a confirmed diagnosis of a rectal fistula, particularly when it is distinct from anal fistulas (K60.3) or other gastrointestinal fistulas. Accurate anatomical localization is key in code selection.
Documentation should include a detailed clinical history, physical examination findings, imaging results, and any surgical notes that describe the fistula's characteristics and treatment plan.
