K61.0

K61.0: Anal abscess

Billable / specific codeICD-10-CM

K61.0 is a billable, specific ICD-10-CM code for anal abscess. It is valid for submission on a claim.

Check K61.0 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

intrasphincteric abscess (K61.4)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Perianal abscess

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K61.0 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A57427Billing and Coding: Transrectal Ultrasound

Alphabetic index entries that lead here

Abscess›anus
Abscess›marginal, anus
Abscess›perianal
Carbuncle›anus
Cellulitis›anus
Furuncle›anus

Code history

Unchanged in every release from FY2024 to FY2027.