K60.32

Anal fistula, complex

FY2027Chapter 11: Diseases of the digestive system/K55–K64 Other diseases of intestines

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

K60.32 is a non-billable ICD-10-CM code header for anal fistula, complex. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are K60.321 Anal fistula, complex, initial; K60.322 Anal fistula, complex, persistent; K60.323 Anal fistula, complex, recurrent and K60.329 Anal fistula, complex, unspecified. Its coding notes include a Code first instruction, a Code also instruction, 1 Excludes1 entry and 10 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from K60.3 Anal fistula
  • , if applicable:

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

This code
  • , if applicable:
    • perianal abscess (K61.0)
    • rectovaginal fistula (N82.3)
    • stenosis of anus and rectum (K62.4)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from K60.3 Anal fistula
  • congenital fistula (Q43.6)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from K60 Fissure and fistula of anal and rectal regions
  • abscess or cellulitis of anal and rectal regions (K61.-)
  • anal sphincter tear (healed) (nontraumatic) (old) (K62.81)
Also from chapter/block level (8 notes)
Inherited from Chapter 11 Diseases of the digestive system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Inclusion terms

Conditions classified to this code.

This code
  • Extrasphincteric anal fistula
  • High intersphincteric anal fistula
  • Suprasphincteric anal fistula
  • Transsphincteric anal fistula

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 4 entries

More specific codes under K60.32 4