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K60.323

Billable

Anal fistula, complex, recurrent

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 has returned after previously healing.

Coding Tips

  • •Complex fistulas have higher recurrence rates than simple fistulas
  • •Document prior surgical or medical treatment and evidence of recurrence

Code Hierarchy

└K60Fissure and fistula of anal and rectal regions└K60.3Anal fistula└K60.32Anal fistula, complex└K60.323Anal fistula, complex, recurrent
└K60.323Anal fistula, complex, recurrent

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