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K60.322

Billable

Anal fistula, complex, persistent

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

What This Code Means

A complicated abnormal tunnel between the anal canal and nearby skin with multiple tracts or branches that continues despite treatment efforts.

Coding Tips

  • •Complex fistulas are more difficult to treat and more likely to persist
  • •Document failed treatment attempts and ongoing symptoms to justify persistent status

Code Hierarchy

└K60Fissure and fistula of anal and rectal regions└K60.3Anal fistula└K60.32Anal fistula, complex└K60.322Anal fistula, complex, persistent
└K60.322Anal fistula, complex, persistent

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