A fistulectomy is a procedure that fully removes the fistulous tract. This increases the likelihood of damage to the sphincters and is therefore often not preferred. However, this may be necessary if there is a large amount of tissue that is blocking normal function, or if there is a high likelihood of recurrence.
Transsphincteric Fistulas: The extent of involvement of the external sphincter dictates the likelihood of postoperative incontinence as a partial sphincterotomy will usually be tolerated. Still, if the fistula involves the majority of the sphincter, then incontinence will result after a complete division.
Fissure and fistula of anal and rectal regions ICD-10-CM K60. 3 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 393 Other digestive system diagnoses with mcc.
CPT® Code 46270 in section: Surgical treatment of anal fistula (fistulectomy/fistulotomy)
A fistula-in-ano is termed “complex” when the track crosses > 30%-50% of the external sphincter (high-transsphincteric, suprasphincteric and extrasphincteric), is anterior in a female, is recurrent, has multiple tracks, or the patient has preexisting incontinence, local irradiation or Crohn's disease[1-4].
Type 1 is an intersphincteric fistula that travels along the intersphincteric plane. Type 2 is a transsphincteric fistula that encompasses a portion of the internal and external sphincter. Type 3 is a suprasphincteric fistula that encompasses the entire sphincter apparatus.
Fissure and fistula of anal and rectal regions ICD-10-CM K60. 4 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
Q52. 2 - Congenital rectovaginal fistula | ICD-10-CM.
215.
Use 46060 if a fistula has formed and needs to be either cut (fistulotomy) or removed (fistulectomy) regardless of whether a seton is implanted. A seton inserted during a different procedure may be reported with 46020 (placement of seton) a code introduced in CPT® 2002.
The prone jackknife position with buttocks apart is the most advantageous position.
Anal fistula, or fistula-in-ano, is a chronic abnormal communication between the epithelialised surface of the anal canal and (usually) the perianal skin.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code K60.3. Click on any term below to browse the alphabetical index.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code K60.3 and a single ICD9 code, 565.1 is an approximate match for comparison and conversion purposes.