Stenosis of anus and rectum
ICD-10 K62.4 is a billable code used to indicate a diagnosis of stenosis of anus and rectum.
Stenosis of the anus and rectum refers to a narrowing of the anal canal or rectum, which can lead to obstructive symptoms and complications. Clinically, patients may present with difficulty in defecation, pain during bowel movements, and rectal bleeding. The anatomy involved includes the anal sphincters, rectal wall, and surrounding tissues. Disease progression can vary; chronic stenosis may result from inflammatory conditions, previous surgeries, or malignancies, leading to significant discomfort and potential bowel obstruction. Diagnostic considerations include a thorough history and physical examination, digital rectal examination, and imaging studies such as MRI or endoscopy to assess the extent of the stenosis and identify underlying causes. Treatment options may range from conservative management, such as dietary modifications and stool softeners, to surgical interventions like anal dilation or resection, depending on the severity 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
K62.4 encompasses conditions leading to stenosis of the anus and rectum, including congenital anomalies, inflammatory bowel disease, and post-surgical changes. It is essential to document the underlying cause for accurate coding.
K62.4 should be used when there is a confirmed diagnosis of stenosis specifically affecting the anus or rectum, differentiating it from codes for fissures or other anal disorders that do not involve stenosis.
Documentation should include a detailed clinical history, physical examination findings, results from imaging studies, and any treatments attempted. Clear notes on the patient's symptoms and the impact on their quality of life are crucial.
