Rectal fistula, complex
ICD-10 K60.42 is a used to indicate a diagnosis of rectal fistula, complex.
K60.42 refers to a complex rectal fistula, which is an abnormal connection between the rectum and the surrounding tissue, often resulting from inflammatory bowel disease, trauma, or previous surgical interventions. Clinically, patients may present with symptoms such as persistent drainage, pain, and recurrent infections. The anatomy involved typically includes the rectum and perianal region, where the fistula can create significant complications if not addressed. Disease progression can lead to chronic inflammation, abscess formation, and further complications such as fecal incontinence. Diagnostic considerations include a thorough clinical examination, imaging studies like MRI or endoscopy, and possibly fistulography to assess the fistula's tract and its complexity. Accurate diagnosis is crucial for determining the appropriate management strategy, which may involve surgical intervention, medical therapy, or a combination of both.
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
K60.42 covers complex rectal fistulas that may arise from conditions such as Crohn's disease, ulcerative colitis, or post-surgical complications. It is characterized by multiple tracts or involvement of surrounding structures.
K60.42 should be used when the fistula is classified as complex, which involves multiple tracts or significant anatomical involvement, as opposed to simpler forms of rectal fistulas.
Documentation should include clinical notes detailing the patient's symptoms, diagnostic imaging results, surgical reports, and any treatment plans that indicate the complexity of the fistula.
