Anal fistula, simple, persistent
ICD-10 K60.312 is a billable code used to indicate a diagnosis of anal fistula, simple, persistent.
K60.312 refers to a simple, persistent anal fistula, a condition characterized by an abnormal connection between the anal canal and the skin surrounding the anus. Clinically, patients may present with symptoms such as persistent drainage, pain, and discomfort in the anal region. The anatomy involved includes the anal sphincter complex and surrounding tissues, which can become inflamed or infected, leading to the formation of the fistula. Disease progression can vary; while some anal fistulas may resolve spontaneously, a simple fistula that persists often requires surgical intervention. Diagnostic considerations include a thorough clinical examination, possibly supplemented by imaging studies such as MRI or endoanal ultrasound to assess the fistula's tract and its relationship to the anal sphincter. Accurate diagnosis is crucial to differentiate simple fistulas from complex ones, which may involve more extensive surgical 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
K60.312 specifically covers simple anal fistulas that are persistent, meaning they have not healed over time. It does not include complex fistulas, which may involve multiple tracts or significant sphincter involvement.
K60.312 should be used when the anal fistula is classified as simple and persistent. If the fistula is complex or associated with other conditions such as Crohn's disease, other codes should be considered.
Documentation should include a thorough clinical assessment, details of symptoms, any imaging studies performed, and treatment plans. Notes should clearly indicate the diagnosis of a simple, persistent anal fistula.
