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K60.513

Billable

Anorectal fistula, simple, recurrent

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 has returned after a period of healing or treatment.

Coding Tips

  • •Apply this code when there is clear documentation of previous resolution followed by return of the fistula
  • •Document the timeline of initial occurrence, resolution, and recurrence for clarity

Code Hierarchy

└K60Fissure and fistula of anal and rectal regions└K60.5Anorectal fistula└K60.51Anorectal fistula, simple└K60.513Anorectal fistula, simple, recurrent
└K60.513Anorectal fistula, simple, recurrent

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