K60.4
Rectal fistula
Non-billable headerNot valid on its own. Use one of the more specific codes under it.
K60.4 is a non-billable ICD-10-CM code header for rectal fistula. 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 K60.40 Rectal fistula, unspecified; K60.41 Rectal fistula, simple and K60.42 Rectal fistula, complex. Its coding notes include a Code first instruction, 3 Excludes1 entries and 10 Excludes2 entries.
Code first
If the underlying condition listed here is present and known, sequence it first.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
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
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
- Fistula of rectum to skin