Anorectal fistula, simple, initial
ICD-10 K60.511 is a billable code used to indicate a diagnosis of anorectal fistula, simple, initial.
Anorectal fistula, simple, initial (K60.511) refers to a pathological connection between the anal canal and the perianal skin, typically resulting from an infection that leads to the formation of an abscess. Clinically, patients may present with symptoms such as pain, swelling, and discharge near the anus. The anatomy involved includes the anal canal, rectum, and surrounding soft tissue. Disease progression can vary; if left untreated, a simple anorectal fistula may become more complex, potentially leading to recurrent infections or complications. Diagnosis often involves a thorough clinical examination, possibly supplemented by imaging studies such as MRI or ultrasound to assess the fistula's tract and any associated abscesses. The initial presentation is crucial for determining the appropriate treatment plan, which may include surgical intervention to excise the fistula and promote healing.
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
K60.511 specifically covers simple anorectal fistulas that are not associated with complex features such as multiple tracts or significant tissue loss. It is typically diagnosed following an abscess formation and is characterized by a straightforward connection between the anal canal and the skin.
K60.511 should be used when the fistula is classified as simple, without any complicating factors. If the fistula has multiple tracts, significant tissue loss, or other complexities, codes such as K60.512 should be considered.
Documentation should include a detailed clinical examination, description of symptoms, imaging studies if performed, and the treatment plan. Notes should clearly indicate the diagnosis of a simple anorectal fistula and any relevant surgical interventions.
