Anorectal fistula, complex, initial
ICD-10 K60.521 is a billable code used to indicate a diagnosis of anorectal fistula, complex, initial.
K60.521 refers to a complex anorectal fistula, which is an abnormal connection between the rectum and the skin surrounding the anus. Clinically, patients may present with symptoms such as pain, swelling, and discharge, often exacerbated by bowel movements. The anatomy involved includes the anal canal, rectum, and surrounding perianal tissues. Complex anorectal fistulas may involve multiple tracts, may be associated with inflammatory bowel disease, or may occur in the context of prior surgical interventions. Disease progression can lead to recurrent infections, abscess formation, and significant morbidity if not treated appropriately. Diagnostic considerations include a thorough history and physical examination, imaging studies such as MRI or endoanal ultrasound, and possibly a fistulogram to delineate the anatomy of the fistula. Accurate diagnosis is critical for determining the appropriate surgical intervention, which may include fistulotomy or advancement flap 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
K60.521 specifically covers complex anorectal fistulas that may involve multiple tracts or are associated with underlying conditions such as Crohn's disease or previous surgical interventions. It does not cover simple fistulas or those without complexity.
K60.521 should be used when the fistula is classified as complex, involving multiple tracts or significant anatomical challenges. Related codes, such as K60.519, should be used for simpler, non-complex fistulas.
Documentation should include a detailed clinical history, physical examination findings, imaging studies (such as MRI or ultrasound), and surgical notes that outline the complexity of the fistula and the treatment plan.
