Icd 10 Code For Perirectal Abscess

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ICD-10 code K61. 1 for Rectal abscess is a medical classification

medical classification
A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding.

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as listed by WHO under the range – Diseases of the digestive system .

Quick search helps you quickly navigate to a particular category. It searches only titles, inclusions and the index and it works by starting to search as you type and provide you options in a dynamic dropdown list.

If you need to search other fields than the title, inclusion and the index then you may use the advanced search feature

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Q: We are confused about which body part value in ICD-10-PCS should be captured for an incision and drainage (I&D) of a perianal abscess of the left buttocks because the physician documented both “perianal” and “left buttocks.”

Editor’s note: Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, HCS-D, director of HIM and coding for HCPro, a Simplify Compliance brand, in Middleton, Massachusetts, answered this question.

Typically, the prefix “peri” should be assigned to the anatomic location when it precedes a body part if there is no specific body part available. However, according to Coding Clinic, Third Quarter 2018, perianal abscesses are just abscesses superficially located next to the anus and involve the skin and subcutaneous tissues, rather than the anus itself.

The ICD-10-PCS guidelines do state that if the documentation cites a specific body part, then that body part should be assigned and not the body part described as “peri.”

Since you said the provider documented that the perianal abscess was on the left buttock region, I would advise you to report this as a Drainage of the subcutaneous tissue, applying the guideline to report the deepest layer of the subcutaneous tissue to the body part value left buttock.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

FAQ

What is the ICD 10 code for Perirectal mass?

A pelvic CT with IV contrast can be used to differentiate between a perianal abscess, which is located beneath the skin of the anal canal and does not transverse the external sphincter, and a perirectal abscess, which is located beyond the external anal sphincter.

What is the ICD 10 code for Perirectal cellulitis?

Other specified diseases of anus and rectum

The 2022 edition of ICD-10-CM K62. 89 became effective on October 1, 2021. This is the American ICD-10-CM version of K62.

How do you code an abscess in ICD-10?

L03. 315 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

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