2025 ICD-10-CM code K60
(Active) Effective Date: N/A Diseases of the digestive system - Other diseases of intestines (K55-K64) Diseases of the digestive system (K00-K95) Feed
Fissure and fistula of anal and rectal regions
Medical necessity for treatment of fissures and fistulas is established by documentation of symptoms, impact on quality of life, and failure of conservative treatment.Surgical intervention is often necessary to address chronic fissures or complex fistulas.
Diagnosis and treatment of fissures and fistulas of the anal and rectal regions typically falls under the purview of general surgeons, colorectal surgeons, or gastroenterologists.
In simple words: This code represents a fissure (tear) or fistula (abnormal connection) in the anal or rectal area.
Fissure and fistula of anal and rectal regions
Example 1: A patient presents with severe pain and bleeding during bowel movements. Upon examination, a fissure is found in the anal canal., A patient with a history of Crohn's disease develops a fistula between the rectum and the skin near the anus., A patient experiences recurrent perianal abscesses, and imaging reveals the presence of a complex anal fistula.
Documentation should include the location, type, and severity of the fissure or fistula, along with any associated symptoms or complications.For fistulas, the presence of abscesses, the complexity of the tract, and any prior treatment should also be documented. Imaging reports, such as MRI or CT scans, can provide additional detail for complex fistulas.
** This code requires a 4th digit to specify the type of fissure or fistula (e.g., K60.0 for acute anal fissure, K60.3 for anal fistula).Always refer to the latest ICD-10-CM coding guidelines and official resources for the most up-to-date information.
- Payment Status: Active
- Specialties:General Surgery, Colorectal Surgery, Gastroenterology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center