Anorectal fistula, complex, recurrent
ICD-10 K60.523 is a billable code used to indicate a diagnosis of anorectal fistula, complex, recurrent.
K60.523 refers to a complex, recurrent anorectal fistula, which is an abnormal connection between the anal canal and the perianal skin. Clinically, patients may present with recurrent abscesses, pain, and discharge, often exacerbated by bowel movements. The anatomy involved includes the anal sphincter complex and surrounding tissues, which can complicate surgical interventions. Disease progression can lead to chronic inflammation and infection, necessitating careful management. Diagnostic considerations include a thorough clinical examination, imaging studies such as MRI or endoanal ultrasound, and possibly a fistulogram to delineate the fistula's course. Accurate diagnosis is critical, as complex fistulas may involve multiple tracts and require specialized surgical techniques for repair.
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
K60.523 covers complex anorectal fistulas that are recurrent, which may include those associated with Crohn's disease, previous surgical interventions, or other underlying conditions that predispose to fistula formation.
K60.523 should be used when the fistula is recurrent and complex, as opposed to simpler codes that may apply to non-recurrent or uncomplicated fistulas. Documentation of the recurrent nature and complexity is essential for accurate coding.
Documentation should include a detailed history of the patient's symptoms, previous treatments, imaging studies, and any surgical notes that indicate the complexity and recurrence of the fistula.
