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Home/Diagnosis/ICD-10 Coding for Rectal Fistula

ICD-10 Coding for Rectal Fistula

K60.422

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

Also Known as:
Fistula-in-ano
Anorectal fistula
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Key Information: ICD-10 Coding for Rectal Fistula

Essential facts and insights about ICD-10 Coding for Rectal Fistula

Use ICD-10 code K60.422 for complex persistent rectal fistula, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Complex persistent rectal fistula

Billable Code
K60.422
Billable

Diagnostic Criteria

clinical:
  • • Presence of complex fistula tract confirmed by imaging
documentation:
  • • Detailed description of fistula complexity and persistence

Applicable To

  • • Complex rectal fistula with persistence

Important Notes

  • • Ensure documentation specifies complexity and persistence.
Ancillary Codes

Additional codes that may be used with this diagnosis

K61.1

Rectal abscess

Use when an abscess is present with the fistula.

B96.20

Unspecified Escherichia coli as the cause of diseases classified elsewhere

Use when E. coli is identified in cultures.

Frequently Asked Questions

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

The ICD-10 code for a complex rectal fistula is K60.422. This code is used when the fistula is persistent and complex, often requiring imaging confirmation.

How do you code a rectal fistula with an abscess?

Code K60.422 for the rectal fistula and K61.1 for the associated abscess. Include organism codes if cultures are positive.

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