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K60.529

Billable

Anorectal fistula, complex, unspecified

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

Coding Tips

  • Use only when complexity is documented but the specific status cannot be determined
  • Query the provider to clarify whether the complex fistula is initial, persistent, or recurrent for more accurate coding

Code Hierarchy

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