Anal fistula, complex, recurrent
ICD-10 K60.323 is a billable code used to indicate a diagnosis of anal fistula, complex, recurrent.
K60.323 refers to a complex, recurrent anal fistula, which is an abnormal connection between the anal canal and the skin surrounding the anus. Clinically, patients may present with symptoms such as persistent pain, swelling, and discharge, often exacerbated by bowel movements. The anatomy involved includes the anal sphincter complex, which can be affected during the formation of the fistula, leading to complications such as incontinence or recurrent infections. Disease progression can be influenced by underlying conditions such as Crohn's disease, which may predispose individuals to complex fistula formation. Diagnostic considerations include a thorough history and physical examination, often supplemented by imaging studies like MRI or endoanal ultrasound to assess the extent of the fistula and its relationship to the anal sphincter. Accurate diagnosis is crucial for determining the appropriate surgical intervention, which may include fistulotomy or seton placement, particularly in recurrent cases where previous treatments have failed.
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
K60.323 specifically covers complex anal fistulas that are recurrent, which may arise from various etiologies including inflammatory bowel disease, trauma, or previous surgical interventions. It is essential to document the recurrent nature and any underlying conditions contributing to the fistula.
K60.323 should be used when the anal fistula is recurrent and complex, as opposed to simpler or non-recurrent cases. Documentation must clearly indicate the recurrent episodes and any complications associated with the fistula.
Documentation should include a detailed history of the patient's symptoms, previous treatments, and any imaging studies that confirm the diagnosis of a complex, recurrent anal fistula. Surgical notes and follow-up assessments are also critical.
