ICD Code K60.3

ICD code K60.3 is an anal fistula, which is an abnormal tunnel or connection between the anal canal and the skin near the anus.

1. Presence of a persistent abnormal tract or tunnel between the anal canal and the perianal skin

2. History of recurrent or chronic perianal discharge, often purulent

3. Localized pain, swelling, or irritation around the anus

4. Physical examination revealing an external opening near the anus and possible internal opening within the anal canal

5. Evidence of induration or cord-like tract on palpation

6. Possible history of previous perianal abscess

7. Exclusion of other causes of perianal symptoms, such as hemorrhoids or fissures

Relevant CPT codes for ICD code K60.3 include:

- 46270: Fistulotomy; subcutaneous

- 46275: Fistulotomy; transsphincteric, suprasphincteric, extrasphincteric, or multiple

- 46280: Fistulectomy; subcutaneous

- 46285: Fistulectomy; transsphincteric, suprasphincteric, extrasphincteric, or multiple

- 46060: Incision and drainage of ischiorectal and/or perirectal abscess, with or without placement of seton

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