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K60.30

Billable

Anal fistula, unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An abnormal tunnel or opening between the anal canal and the skin near the anus, without specification of whether it is simple or complex.

Coding Tips

  • •This is a non-specific code; review documentation to determine if the fistula is simple or complex
  • •If complexity and status (initial, persistent, recurrent) are documented, assign the more specific K60.31x or K60.32x codes

Code Hierarchy

└K60Fissure and fistula of anal and rectal regions└K60.3Anal fistula└K60.30Anal fistula, unspecified
└K60.30Anal fistula, unspecified

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