K61.0 vs K61.4
K61.0 (Anal abscess) compared with K61.4 (Intrasphincteric abscess), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. K61.0 carries an Excludes2 note covering K61.4: “intrasphincteric abscess (K61.4)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| K61.0Anal abscess | K61.4Intrasphincteric abscess | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | K00-K95 — Diseases of the Digestive System (K00-K95) | K00-K95 — Diseases of the Digestive System (K00-K95) |
| Definition | Anal abscess is a billable ICD-10-CM diagnosis code (K61.0). | Intrasphincteric abscess is a billable ICD-10-CM diagnosis code (K61.4). |
| Includes | abscess of anal and rectal regions cellulitis of anal and rectal regions Perianal abscess | abscess of anal and rectal regions cellulitis of anal and rectal regions Intersphincteric abscess |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources