Anorectal fistula, simple, recurrent
ICD-10 K60.513 is a billable code used to indicate a diagnosis of anorectal fistula, simple, recurrent.
Anorectal fistula, simple, recurrent (K60.513) is a condition characterized by an abnormal connection between the anal canal and the perianal skin, resulting in the continuous drainage of pus or fecal matter. Clinically, patients may present with symptoms such as pain, swelling, and discharge around the anal area, which can lead to recurrent infections. The anatomy involved includes the anal sphincter complex and surrounding tissues, which can become compromised due to inflammation or previous surgical interventions. Disease progression may involve the development of abscesses, which can further complicate the fistula's management. Diagnostic considerations include a thorough clinical examination, imaging studies such as MRI or endoanal ultrasound, and possibly a fistulogram to delineate the fistula's tract. It is crucial to differentiate between simple and complex fistulas, as treatment approaches vary significantly based on the complexity of the condition.
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
K60.513 specifically covers simple anorectal fistulas that are recurrent, which may arise from previous abscesses or surgical procedures. It does not include complex fistulas that involve multiple tracts or significant sphincter involvement.
K60.513 should be used when the patient has a documented history of recurrent simple anorectal fistulas. If the fistula is classified as complex or if there are additional complications, other codes such as K60.511 or K60.512 may be more appropriate.
Documentation should include a detailed history of the patient's symptoms, previous treatments, imaging results, and any surgical interventions. Clear notes on the recurrent nature of the fistula and its management are crucial for accurate coding.
