Anorectal fistula, simple
ICD-10 K60.51 is a used to indicate a diagnosis of anorectal fistula, simple.
Anorectal fistula, simple, is a condition characterized by an abnormal connection between the anal canal and the perianal skin. Clinically, patients may present with symptoms such as pain, swelling, and discharge from the anal region, often accompanied by recurrent abscesses. The anatomy involved includes the anal sphincter complex and surrounding tissues, which can be affected by inflammatory processes or previous surgical interventions. Disease progression can lead to complications such as recurrent infections or the development of more complex fistulas if left untreated. Diagnostic considerations typically involve a thorough clinical examination, possibly supplemented by imaging studies such as MRI or endoanal ultrasound to assess the fistula's tract and its relationship to the anal sphincter. Accurate diagnosis is crucial for determining the appropriate surgical intervention, which may include fistulotomy or seton placement, depending on the complexity of the fistula.
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
K60.51 specifically covers simple anorectal fistulas, which are defined as those without significant involvement of the anal sphincter or surrounding tissues. This includes fistulas that arise from a previous abscess or other benign conditions.
K60.51 should be used when the fistula is classified as simple, meaning it does not involve complex anatomical structures or significant complications. If the fistula is complex, K60.52 should be utilized instead.
Documentation should include a detailed history and physical examination, imaging studies if performed, and a clear treatment plan outlining the surgical approach. Notes should specify the nature of the fistula and any associated symptoms.
