Rectal fistula, complex, unspecified
ICD-10 K60.429 is a billable code used to indicate a diagnosis of rectal fistula, complex, unspecified.
K60.429 refers to a complex rectal fistula that is unspecified in nature. A rectal fistula is an abnormal connection between the rectum and the skin or another organ, often resulting from inflammatory bowel disease, trauma, or surgical complications. Clinically, patients may present with symptoms such as persistent drainage, pain, and fecal incontinence. The anatomy involved typically includes the rectum, anal canal, and surrounding tissues. Disease progression can lead to significant morbidity, including recurrent infections and abscess formation. Diagnostic considerations include a thorough clinical examination, imaging studies like MRI or ultrasound, and possibly endoscopic evaluation to assess the extent and complexity of the fistula. Accurate diagnosis is crucial for determining the appropriate management strategy, which may involve surgical intervention, medical therapy, or a combination of both. The complexity of the condition often necessitates a multidisciplinary approach for optimal patient outcomes.
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
K60.429 encompasses complex rectal fistulas that do not have a specified cause, including those resulting from inflammatory bowel disease, trauma, or surgical complications. It is important to differentiate it from simpler fistulas that may have a clear etiology.
K60.429 should be used when the rectal fistula is complex and unspecified, particularly when the clinician cannot determine the exact nature or cause of the fistula, distinguishing it from codes that specify simpler or more defined fistula types.
Documentation should include a detailed clinical assessment, imaging results, and any relevant surgical history. Notes should clearly outline the complexity of the fistula and any associated symptoms or complications to support the use of this code.
