Rectal fistula, complex, persistent
ICD-10 K60.422 is a billable code used to indicate a diagnosis of rectal fistula, complex, persistent.
K60.422 refers to a complex, persistent rectal fistula, which is an abnormal connection between the rectum and the skin or another organ. Clinically, patients may present with symptoms such as persistent drainage, pain, and discomfort in the anal region. The anatomy involved includes the rectum, anal canal, and surrounding tissues, which can become inflamed or infected due to the fistula. Disease progression may involve recurrent infections, abscess formation, and complications such as fecal incontinence or skin irritation. Diagnostic considerations include a thorough clinical examination, imaging studies such as MRI or endoscopy, and possibly a fistulogram to assess the fistula's tract. Accurate diagnosis is crucial for determining the appropriate treatment plan, which may involve surgical intervention to repair the fistula and address any underlying conditions, such as Crohn's disease or diverticulitis, that may contribute to its formation.
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
K60.422 covers complex rectal fistulas that are persistent and may be associated with underlying conditions such as inflammatory bowel disease, trauma, or previous surgeries. Diagnostic criteria include the presence of a fistula that has not healed over time and exhibits signs of infection or drainage.
K60.422 should be used when the rectal fistula is classified as complex and persistent, meaning it has not resolved with conservative management and may require surgical intervention. It is differentiated from simpler codes based on the complexity and chronicity of the condition.
Documentation for K60.422 should include clinical notes detailing the patient's symptoms, diagnostic imaging results, treatment history, and any surgical interventions performed. It should also reflect the complexity of the fistula and any associated conditions.
