K61.4
K61.4: Intrasphincteric abscess
Billable / specific codeICD-10-CM
K61.4 is a billable, specific ICD-10-CM code for intrasphincteric abscess. It is valid for submission on a claim.
Check K61.4 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Intersphincteric abscess
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K61.4 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›intersphincteric
- Abscess›intrasphincteric(anus)
Code history
Unchanged in every release from FY2024 to FY2027.