Supralevator abscess
ICD-10 K61.5 is a billable code used to indicate a diagnosis of supralevator abscess.
Supralevator abscess is a localized collection of pus that occurs above the levator ani muscle, typically resulting from an infection in the anal region or pelvic cavity. Clinically, patients may present with severe perineal pain, fever, and signs of systemic infection. The anatomy involved includes the anal canal, rectum, and surrounding pelvic structures, which can become inflamed and infected, leading to the formation of an abscess. Disease progression can vary; if left untreated, the abscess may lead to complications such as sepsis or chronic pain. Diagnostic considerations include a thorough clinical examination, imaging studies such as ultrasound or MRI, and sometimes, surgical intervention for drainage. Early identification and management are crucial to prevent further complications and ensure optimal patient outcomes.
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
K61.5 specifically covers supralevator abscesses, which may arise from infections in the anal region or complications from inflammatory bowel disease, diverticulitis, or trauma. Diagnostic criteria include imaging confirmation and clinical symptoms of infection.
K61.5 should be used when the abscess is specifically located above the levator ani muscle, differentiating it from perianal or ischiorectal abscesses, which have distinct anatomical locations and management strategies.
Documentation should include clinical findings, imaging results, treatment plans, and any surgical notes if applicable. Detailed descriptions of symptoms and the location of the abscess are essential for accurate coding.
