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Home/Diagnosis/ICD-10 Coding for Anal Pain

ICD-10 Coding for Anal Pain

K60.0
K60.1
K64.3

Complete ICD-10-CM coding and documentation guide for icd-10 coding for anal pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Rectal Pain
Perianal Pain
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Key Information: ICD-10 Coding for Anal Pain

Essential facts and insights about ICD-10 Coding for Anal Pain

Use ICD-10 code K60.0 for acute anal fissure, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute anal fissure

Billable Code
K60.0
Billable

Diagnostic Criteria

  • • Visible tear and acute pain during defecation

Applicable To

  • • Acute tear in the anal canal

Important Notes

  • • Ensure documentation specifies acute nature and visible tear.

Chronic anal fissure

Billable Code
K60.1
Billable

Diagnostic Criteria

  • • Sentinel tag
  • • Hypertrophied papilla
  • • History of recurrent pain

Applicable To

  • • Chronic tear in the anal canal

Important Notes

  • • Document chronicity and presence of sentinel tag.

Thrombosed external hemorrhoid

Billable Code
K64.3
Billable

Diagnostic Criteria

  • • Palpable tender perianal mass
  • • Acute pain without defecation

Applicable To

  • • External hemorrhoid with thrombosis

Important Notes

  • • Document thrombosis and exclude non-thrombosed hemorrhoids.

Other specified diseases of anus and rectum

Billable Code
K62.89
Billable

Diagnostic Criteria

  • • Pain from confirmed etiology not captured in specific codes

Applicable To

  • • Conditions not specified elsewhere

Important Notes

  • • Ensure specific conditions are ruled out before use.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.2

Pelvic and perineal pain

Use if no definitive diagnosis is established.

K64.8

Thrombosed hemorrhoid

Use if thrombosed hemorrhoid is present.

R19.5

Rectal bleeding

Use if bleeding is present.

Frequently Asked Questions

What is the ICD-10 code for anal pain?

Anal pain itself does not have a direct ICD-10 code. Instead, code the underlying condition causing the pain, such as K60.0 for acute anal fissure.

How do you code a thrombosed hemorrhoid?

Use ICD-10 code K64.3 for a thrombosed external hemorrhoid, ensuring documentation specifies thrombosis.

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