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K61.4

Billable

Intrasphincteric abscess

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An abscess located within the internal anal sphincter muscle, which is the innermost muscle that controls bowel movements.

Coding Tips

  • •This represents a specific anatomical location within the sphincter itself
  • •Document should specify intrasphincteric location to differentiate from other anorectal abscesses

Code Hierarchy

└K61Abscess of anal and rectal regions└K61.4Intrasphincteric abscess
└K61.4Intrasphincteric abscess

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