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K60.512

Billable

Anorectal fistula, simple, persistent

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

What This Code Means

An uncomplicated abnormal tunnel between the anus and surrounding skin that continues to exist or has not fully healed despite treatment.

Coding Tips

  • •Use when documentation indicates the fistula is ongoing or has failed to resolve with previous treatment attempts
  • •Ensure distinction from initial presentation (511) is clearly documented in the medical record

Code Hierarchy

└K60Fissure and fistula of anal and rectal regions└K60.5Anorectal fistula└K60.51Anorectal fistula, simple└K60.512Anorectal fistula, simple, persistent
└K60.512Anorectal fistula, simple, persistent

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