Rectal abscess
ICD-10 K61.1 is a billable code used to indicate a diagnosis of rectal abscess.
A rectal abscess is a localized collection of pus that occurs in the rectal area, often resulting from infection or obstruction of the anal glands. Clinically, patients may present with symptoms such as severe pain in the rectal region, swelling, fever, and sometimes systemic signs of infection. The anatomy involved includes the anal canal, rectum, and surrounding soft tissues. The disease can progress from a simple infection to a more complicated condition if not treated promptly, potentially leading to fistula formation or systemic infection. Diagnosis typically involves a thorough clinical examination, including digital rectal examination, and may require imaging studies such as ultrasound or MRI to assess the extent of the abscess. Differential diagnoses include conditions like anal fissures, hemorrhoids, and inflammatory bowel disease. Timely intervention is crucial to prevent complications and ensure effective management.
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
K61.1 specifically covers rectal abscesses that are not associated with other conditions such as inflammatory bowel disease or malignancies. It is important to differentiate between abscess types for accurate coding.
K61.1 should be used when the abscess is confirmed to be in the rectal area and not in the perianal region or associated with other gastrointestinal conditions. Accurate diagnosis is key to proper code selection.
Documentation should include clinical findings from the physical examination, imaging results if performed, treatment plans, and follow-up notes that confirm the diagnosis and management of the rectal abscess.
