ICD Body System
Date amended:
External
Statements of Principles
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.