Rectal fistula, simple, recurrent
ICD-10 K60.413 is a billable code used to indicate a diagnosis of rectal fistula, simple, recurrent.
K60.413 refers to a simple, recurrent rectal fistula, which is an abnormal connection between the rectum and the perianal skin. Clinically, patients may present with symptoms such as persistent drainage, pain, and discomfort in the anal region. The anatomy involved includes the rectal wall and surrounding tissues, which can become inflamed or infected, leading to the formation of a fistula. Disease progression can vary; recurrent fistulas often arise from previous surgical interventions or abscesses that have not healed properly. Diagnostic considerations include a thorough physical examination, imaging studies such as MRI or ultrasound, and possibly endoscopic evaluation to assess the extent of the fistula and rule out other gastrointestinal conditions. Proper identification and management are crucial to prevent complications such as infection or further 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
K60.413 specifically covers simple, recurrent rectal fistulas, which may arise from previous abscesses or surgical interventions. It does not include complex fistulas or those associated with inflammatory bowel disease.
K60.413 should be used when the patient has a recurrent rectal fistula that is classified as simple. If the fistula is complex or associated with other conditions, different codes should be considered.
Documentation should include a detailed history of the patient's symptoms, previous treatments, imaging results, and clinical findings that confirm the diagnosis of a recurrent, simple rectal fistula.
