Ischiorectal abscess
ICD-10 K61.3 is a used to indicate a diagnosis of ischiorectal abscess.
Ischiorectal abscess is a localized collection of pus that occurs in the ischiorectal fossa, an anatomical space located between the ischium and the rectum. This condition typically arises from an infection of the anal glands, which can lead to the formation of an abscess. Patients often present with symptoms such as severe perianal pain, swelling, fever, and difficulty in sitting or defecating. The abscess may be palpable on examination and can cause systemic symptoms if not treated promptly. The disease progression can lead to complications such as fistula formation if the abscess is not drained adequately. Diagnosis is primarily clinical, supported by imaging studies such as ultrasound or MRI in complicated cases. Treatment involves surgical intervention for drainage, along with antibiotics to manage the infection. Proper identification and management are crucial to prevent recurrence and further complications.
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
K61.3 specifically covers ischiorectal abscesses, which are infections localized to the ischiorectal fossa. It does not include abscesses in other locations such as perianal or rectal abscesses, which are classified under different codes.
K61.3 should be used when the abscess is specifically located in the ischiorectal fossa, as opposed to K61.0 for perianal abscesses or K61.1 for rectal abscesses. Accurate anatomical localization is key for correct coding.
Documentation should include clinical findings such as pain location, fever, and any imaging studies performed. Surgical notes detailing the drainage procedure and post-operative care are also essential for supporting the use of K61.3.