Anorectal fistula
ICD-10 K60.5 is a used to indicate a diagnosis of anorectal fistula.
Anorectal fistula (K60.5) is an abnormal connection between the rectum and the skin surrounding the anus, often resulting from an infection in the anal glands that leads to the formation of an abscess. Clinically, patients may present with symptoms such as pain, swelling, and discharge near the anal region, which can be intermittent or persistent. The anatomy involved includes the anal canal, rectum, and surrounding soft tissue structures. Disease progression can vary; if left untreated, an anorectal fistula may lead to recurrent infections, abscess formation, and significant discomfort. Diagnostic considerations include a thorough clinical examination, imaging studies such as MRI or ultrasound, and possibly endoscopic evaluation to assess the fistula's tract and any associated complications. Accurate diagnosis is crucial for determining the appropriate surgical intervention, which may include fistulotomy or seton placement, depending on the fistula's complexity and location.
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
K60.5 specifically covers anorectal fistulas, which may arise from complications of anal abscesses, inflammatory bowel disease, or trauma. It does not include other anorectal conditions such as fissures or hemorrhoids.
K60.5 should be used when there is a confirmed diagnosis of an anorectal fistula, characterized by a direct connection between the anal canal and the skin. It should not be used for anal abscesses or fissures, which have distinct codes.
Documentation should include a detailed clinical history, physical examination findings, imaging results, and any surgical notes if applicable. Clear descriptions of the fistula's location, type, and associated symptoms are critical.
