ICD-10 Diagnosis Code Q43.6

Congenital fistula of rectum and anus

Diagnosis Code Q43.6

ICD-10: Q43.6
Short Description: Congenital fistula of rectum and anus
Long Description: Congenital fistula of rectum and anus
This is the 2018 version of the ICD-10-CM diagnosis code Q43.6

Valid for Submission
The code Q43.6 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • Other congenital malformations of the digestive system (Q38-Q45)
      • Other congenital malformations of intestine (Q43)

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code Q43.6 is grouped in the following Diagnostic Related Group(s) (MS-DRG V34.0)

  • 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
  • 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
  • 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

Present on Admission (POA) Additional informationCallout TooltipPresent on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

The code Q43.6 is exempt from POA reporting.

Synonyms
  • Congenital anoperineal fistula
  • Congenital fecal fistula
  • Congenital fistula of anus
  • Congenital fistula of intestinal tract
  • Congenital fistula of intestinal tract
  • Congenital fistula of rectum
  • Congenital fistula of rectum and anus
  • Enterocutaneous fistula

Index of Diseases and Injuries
References found for the code Q43.6 in the Index of Diseases and Injuries:


Information for Patients


Anal Disorders

Also called: Anorectal diseases

The anus is the opening of the rectum through which stool passes out of your body. Problems with the anus are common. They include hemorrhoids, abscesses, fissures (cracks), and cancer.

You may be embarrassed to talk about your anal troubles. But it is important to let your doctor know, especially if you have pain or bleeding. The more details you can give about your problem, the better your doctor will be able to help you. Treatments vary depending on the particular problem.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Anal fissure (Medical Encyclopedia)
  • Anal itching -- self-care (Medical Encyclopedia)
  • Anorectal abscess (Medical Encyclopedia)
  • Anoscopy (Medical Encyclopedia)
  • Digital rectal exam (Medical Encyclopedia)
  • Imperforate anus (Medical Encyclopedia)
  • Lower GI Series - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Perianal streptococcal cellulitis (Medical Encyclopedia)


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Fistulas

A fistula is an abnormal connection between two parts inside of the body. Fistulas may develop between different organs, such as between the esophagus and the windpipe or the bowel and the vagina. They can also develop between two blood vessels, such as between an artery and a vein or between two arteries.

Some people are born with a fistula. Other common causes of fistulas include

  • Complications from surgery
  • Injury
  • Infection
  • Diseases, such as Crohn's disease or ulcerative colitis

Treatment depends on the cause of the fistula, where it is, and how bad it is. Some fistulas will close on their own. In some cases, you may need antibiotics and/or surgery.

  • Fistula (Medical Encyclopedia)
  • Gastrointestinal fistula (Medical Encyclopedia)


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Rectal Disorders

The rectum is the lower part of your large intestine where your body stores stool. Problems with rectum are common. They include hemorrhoids, abscesses, incontinence and cancer.

Many people are embarrassed to talk about rectal troubles. But seeing your doctor about problems in this area is important. This is especially true if you have pain or bleeding. Treatments vary depending on the particular problem.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Anorectal abscess (Medical Encyclopedia)
  • Digital rectal exam (Medical Encyclopedia)
  • Lower GI Series - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Proctitis (Medical Encyclopedia)
  • Rectal biopsy (Medical Encyclopedia)
  • Rectal prolapse (Medical Encyclopedia)
  • Rectal prolapse repair (Medical Encyclopedia)


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