K61.1
K61.1: Rectal abscess
Billable / specific codeICD-10-CM
K61.1 is a billable, specific ICD-10-CM code for rectal abscess. It is valid for submission on a claim.
Check K61.1 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- ischiorectal abscess (K61.39)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Perirectal abscess
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K61.1 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›pararectal
- Abscess›perirectal
- Abscess›rectum
- Cellulitis›perirectal
- Cellulitis›rectum
- Abscess›intestine, intestinal NEC›rectal
Code history
Unchanged in every release from FY2024 to FY2027.