Acute anal fissure
ICD-10 K60.0 is a billable code used to indicate a diagnosis of acute anal fissure.
Acute anal fissure is a painful linear tear in the anal canal, typically occurring in the distal rectum. Clinically, patients present with sharp pain during defecation, often accompanied by bright red rectal bleeding. The fissure may be associated with constipation, diarrhea, or trauma to the anal area. Anatomically, the anal fissure primarily involves the anal sphincter and the surrounding mucosa. The condition can progress from an acute to a chronic state if not treated, leading to persistent pain and potential complications such as anal stenosis. Diagnostic considerations include a thorough history and physical examination, often supplemented by anoscopy to visualize the fissure. Differential diagnoses may include hemorrhoids, perianal abscess, and other anal lesions. Treatment typically involves conservative measures such as dietary modifications, stool softeners, topical analgesics, and in some cases, surgical intervention may be necessary for chronic fissures. Accurate diagnosis and management are crucial to prevent recurrence and alleviate patient discomfort.
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
K60.0 specifically covers acute anal fissures, characterized by a recent onset of pain and bleeding during bowel movements. It does not include chronic fissures or other anal disorders such as hemorrhoids.
K60.0 should be used when the patient presents with a new, acute anal fissure. If the fissure has been present for more than 8 weeks or has not healed, K60.1 (Chronic anal fissure) should be considered.
Documentation should include a detailed history of symptoms, physical examination findings, any diagnostic tests performed, and the treatment plan. Notes should clearly indicate the acute nature of the fissure.
