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K60.522

Billable

Anorectal 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 anus and surrounding skin with multiple tracts or deeper tissue involvement that continues to persist despite treatment.

Coding Tips

  • •Document the complexity features and treatment attempts in the medical record to support this code selection
  • •Complex persistent fistulas often require surgical intervention and should be tracked for treatment outcomes

Code Hierarchy

└K60Fissure and fistula of anal and rectal regions└K60.5Anorectal fistula└K60.52Anorectal fistula, complex└K60.522Anorectal fistula, complex, persistent
└K60.522Anorectal fistula, complex, persistent

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