Anal Fissure J006
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/b/anal-fissure-j006-k600k602
Rulebase for anal fissure
<h5>Current RMA Instruments</h5><div><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2019/ddbbe84da6/087.pdf" target="_blank">Reasonable Hypothesis SOP</a></address></td><td>87 of 2019</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2019/ab15037d39/088.pdf" target="_blank">Balance of Probabilities SOP</a></address></td><td>88 of 2019</td></tr></tbody></table></div><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="aa2344ff-d5f1-4a69-a5cf-46fd97ee1de8" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><div><ul><li><span>ICD-9-CM Codes: 565.0</span></li><li><span>ICD-10-AM Codes: K60.0, K60.2</span></li></ul></div><h5>Brief description</h5><p>An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.</p><h5>Confirming the diagnosis</h5><p>The diagnosis is made on clinical grounds and can be made by a treating GP.</p><p>The relevant medical specialist is a general surgeon.</p><h5>Diagnoses covered by SOP</h5><ul><li>Fissure-in-ano</li></ul><h5><span>Conditions excluded from SOP</span></h5><ul><li>Anal fistula<sup><font size="2">#</font></sup></li><li>Anal abscess<sup><font size="2">#</font></sup></li><li>Haemorhoids*</li></ul><p>* Another SOP applies</p><p><sup><font size="2">#</font></sup> Non-SOP condition</p><h5>Clinical onset</h5><p>Clinical onset will be based on the first onset of the characteristic pain.</p><h5>Clinical worsening</h5><p>The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.</p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure
Anal surgery
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure/anal-surgery
Constipation
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure/constipation
Crohn's disease
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure/crohns-disease
HIV infection
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure/hiv-infection
Inability to obtain appropriate clinical management for anal fissure
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure/inability-obtain-appropriate-clinical-management-anal-fissure
Trauma to the perineum
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure/trauma-perineum
Ulcerative colitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 87 of 2019 |
| Balance of Probabilities SOP | 88 of 2019 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 565.0
- ICD-10-AM Codes: K60.0, K60.2
Brief description
An anal fissure starts with a tear to the lining within the distal half of the anal canal. The tear triggers cycles of recurring anal pain and bleeding and can go on to become a chronic condition.
Confirming the diagnosis
The diagnosis is made on clinical grounds and can be made by a treating GP.
The relevant medical specialist is a general surgeon.
Diagnoses covered by SOP
- Fissure-in-ano
Conditions excluded from SOP
- Anal fistula#
- Anal abscess#
- Haemorhoids*
* Another SOP applies
# Non-SOP condition
Clinical onset
Clinical onset will be based on the first onset of the characteristic pain.
Clinical worsening
The only worsening factor is for inability to obtain appropriate clinical management. Anal fissures generally respond to conservative measures, including medications. Surgery may be required in refractory cases.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/anal-fissure-j006-k600k602/rulebase-anal-fissure/ulcerative-colitis