Rectal fistula, simple, unspecified
ICD-10 K60.419 is a billable code used to indicate a diagnosis of rectal fistula, simple, unspecified.
K60.419 refers to a simple rectal fistula that is unspecified in nature. A rectal fistula is an abnormal connection between the rectum and the skin or another organ, often resulting from inflammatory bowel disease, trauma, or surgical complications. Clinically, patients may present with symptoms such as pain, discharge, and recurrent infections. 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 simple fistula may develop into a more complex condition, potentially involving multiple tracts or leading to significant morbidity. Diagnostic considerations include a thorough history and physical examination, imaging studies such as MRI or endoscopy, and possibly a fistulogram to assess the extent of the fistula. Accurate diagnosis is crucial for effective management and treatment planning.
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
K60.419 covers simple rectal fistulas that are not specified further. This includes any uncomplicated fistula that connects the rectum to the skin or another organ without additional complications.
K60.419 should be used when the rectal fistula is simple and unspecified. If the fistula is complex or has additional complications, then other codes such as K60.41 should be considered.
Documentation should include a detailed clinical assessment, imaging results, and any surgical notes if applicable. It is essential to document the absence of complications to justify the use of K60.419.
