Rectal fistula

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

Billable FY2016 to FY2024, and a category header from FY2025.

Submit one of these 3 more specific codes instead:

K60.40 Rectal fistula, unspecified
K60.41 Rectal fistula, simple (also a header)
K60.42 Rectal fistula, complex (also a header)

Use instead:

K60.411 Rectal fistula, simple, initial stated for FY2024
K60.412 Rectal fistula, simple, persistent stated for FY2024
K60.413 Rectal fistula, simple, recurrent stated for FY2024
K60.419 Rectal fistula, simple, unspecified stated for FY2024
K60.421 Rectal fistula, complex, initial stated for FY2024
K60.422 Rectal fistula, complex, persistent stated for FY2024
K60.423 Rectal fistula, complex, recurrent stated for FY2024
K60.429 Rectal fistula, complex, unspecified stated for FY2024

What has happened to this code

Every change the publisher made, from 2007 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2007 Added to the draft code set draft Rectal fistula
FY2025 Stopped being billable

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from K60 Fissure and fistula of anal and rectal regions

Excludes2 - not included here

abscess or cellulitis of anal and rectal regions (K61.-)
anal sphincter tear (healed) (nontraumatic) (old) (K62.81)

Codes in the same group

Code	Description	Status
K60.0	Acute anal fissure	Valid
K60.1	Chronic anal fissure	Valid
K60.2	Anal fissure, unspecified	Valid
K60.3	Anal fistula	Not billable
K60.5	Anorectal fistula	Not billable