Anal fistula, simple, unspecified
ICD-10 K60.319 is a billable code used to indicate a diagnosis of anal fistula, simple, unspecified.
K60.319 refers to a simple anal fistula that is unspecified in nature. An anal fistula is an abnormal connection between the anal canal and the skin surrounding the anus, often resulting from an infection in the anal glands that leads to the formation of an abscess. Clinically, patients may present with symptoms such as pain, swelling, and discharge near the anal area. The anatomy involved includes the anal canal, rectum, and surrounding perianal tissues. Disease progression can vary; if left untreated, a simple anal fistula may lead to more complex fistulas or recurrent infections. Diagnostic considerations include a thorough physical examination, patient history, and possibly imaging studies such as MRI or endoscopy to assess the fistula's tract and any associated complications. Accurate diagnosis is crucial for determining the appropriate treatment plan, which may involve surgical intervention to close the fistula and prevent recurrence.
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
K60.319 covers simple anal fistulas that do not have specific characteristics defined, such as those that are not associated with inflammatory bowel disease or other complex conditions. It is used when the fistula's complexity is not specified.
K60.319 should be used when the anal fistula is simple and unspecified. If the fistula is characterized as complex or associated with other conditions, more specific codes like K60.31 or K60.32 should be utilized.
Documentation should include a detailed clinical assessment of the fistula, including the patient's symptoms, physical examination findings, and any imaging studies performed. A clear description of the fistula's characteristics and treatment plan is essential.
