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K60.523

Billable

Anorectal 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 anus and surrounding skin with multiple tracts or deeper tissue involvement that has returned after previous treatment or healing.

Coding Tips

  • •Ensure documentation clearly indicates previous resolution of the complex fistula followed by recurrence
  • •Track surgical history and previous treatment modalities as complex recurrent fistulas may require different management approaches

Code Hierarchy

└K60Fissure and fistula of anal and rectal regions└K60.5Anorectal fistula└K60.52Anorectal fistula, complex└K60.523Anorectal fistula, complex, recurrent
└K60.523Anorectal fistula, complex, recurrent

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