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K60.519

Billable

Anorectal fistula, simple, unspecified

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 where the status of initial, persistent, or recurrent presentation is not specified.

Coding Tips

  • Use only when the specific status cannot be determined from available documentation
  • Query the provider if possible to obtain more specific status information for accurate coding

Code Hierarchy

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