Anal fissure, unspecified
ICD-10 K60.2 is a billable code used to indicate a diagnosis of anal fissure, unspecified.
Anal fissure, unspecified (K60.2) refers to a tear in the lining of the anal canal, which can cause significant pain and discomfort during bowel movements. The anal canal is a crucial part of the digestive system, serving as the exit point for stool. Anal fissures can occur due to various factors, including trauma from passing hard stools, prolonged diarrhea, or anal intercourse. Clinically, patients may present with sharp pain during defecation, bright red blood on the stool or toilet paper, and sometimes itching or irritation around the anus. Disease progression can lead to chronic fissures if not treated, which may require more invasive interventions. Diagnostic considerations include a thorough history and physical examination, often supplemented by anoscopy to visualize the fissure. It is essential to differentiate between acute and chronic fissures, as treatment approaches may vary significantly. The unspecified nature of K60.2 indicates that the fissure has not been classified as acute or chronic, which may impact treatment decisions and coding specificity.
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
K60.2 covers unspecified anal fissures, which may include acute or chronic fissures that have not been clearly defined. It is important to document the clinical presentation to support the diagnosis.
K60.2 should be used when the type of anal fissure (acute or chronic) is not specified in the clinical documentation. If the fissure type is known, the more specific codes K60.0 or K60.1 should be utilized.
Documentation should include a detailed history of symptoms, physical examination findings, and any treatments attempted. Anoscopy findings, if performed, should also be documented to support the diagnosis.
