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Home/Diagnosis/ICD-10 Coding for Fistula

ICD-10 Coding for Fistula

K60.421
T81.82

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

Also Known as:
Anal Fistula
Rectal Fistula
Enterocutaneous Fistula
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Key Information: ICD-10 Coding for Fistula

Essential facts and insights about ICD-10 Coding for Fistula

Use ICD-10 code K60.421 for rectal fistula, complex, persistent, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Rectal fistula, complex, persistent

Billable Code
K60.421
Billable

Diagnostic Criteria

  • • Presence of a complex and persistent fistula confirmed by imaging

Applicable To

  • • Complex persistent rectal fistula

Important Notes

  • • Ensure documentation specifies 'complex' and 'persistent' to use this code.

Persistent postprocedural fistula

Non-Billable
T81.82
Non-Billable

Diagnostic Criteria

  • • Documentation of persistence post-surgery
Ancillary Codes

Additional codes that may be used with this diagnosis

K61.1

Rectal abscess

Use when an abscess is present alongside the fistula.

Frequently Asked Questions

What is the ICD-10 code for a complex rectal fistula?

The ICD-10 code for a complex rectal fistula is K60.421, which requires documentation of complexity and persistence.

How do you code a postprocedural fistula?

For a persistent postprocedural fistula, use ICD-10 code T81.82, ensuring persistence is documented.

Quick Navigation
All DiagnosesICD-10 Codes

Related Resources

How Medical Coding WorksBrowse All Codes
  • • Surgical notes indicating fistula development
  • Applicable To

    • • Persistent fistula following surgery

    Important Notes

    • • Ensure persistence is clearly documented post-surgery.