Intrasphincteric abscess
ICD-10 K61.4 is a billable code used to indicate a diagnosis of intrasphincteric abscess.
Intrasphincteric abscess is a localized collection of pus that occurs within the intrasphincteric space, which is situated between the internal and external anal sphincters. This condition typically arises from the infection of anal glands, leading to the formation of an abscess. Clinically, patients may present with symptoms such as anal pain, swelling, fever, and sometimes drainage of pus. The anatomy involved includes the anal canal, the sphincter muscles, and surrounding soft tissues. Disease progression can lead to complications such as fistula formation if not treated promptly. Diagnosis is primarily clinical, supported by physical examination and imaging studies like ultrasound or MRI when necessary. Differential diagnoses include perianal abscess and other forms of anal abscesses, which must be carefully distinguished to ensure appropriate 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
K61.4 specifically covers intrasphincteric abscesses, which are characterized by pus accumulation in the intrasphincteric space. It does not include other types of anal abscesses, such as perianal or ischiorectal abscesses.
K61.4 should be used when the abscess is specifically located in the intrasphincteric space. If the abscess is located elsewhere, such as in the perianal or ischiorectal regions, the appropriate codes K61.0 or K61.1 should be utilized.
Documentation should include a thorough clinical assessment, imaging results if applicable, treatment plans, and any surgical notes if drainage was performed. Clear descriptions of symptoms and the location of the abscess are crucial.