ICD-10-CM K60.4: Rectal fistula

ICD-10-CM Diagnosis Code (2025)

Official Description for K60.4

Rectal fistula

Coding Notes & Guidelines for K60.4

Excludes1: Not Coded Here
  • congenital fistula (Q43.6)
  • rectovaginal fistula (N82.3)
  • vesicorectal fistual (N32.1)
Code First
  • , if applicable:
  • Crohn's disease (K50.-)
  • ulcerative colitis (K51.-)
Inclusion Terms

Fistula of rectum to skin

Inclusion Terms

Rectal fistula NOS

Inclusion Terms
  • Low intersphincteric rectal fistula
  • Superficial rectal fistula
Inclusion Terms

Rectal, fistula, simple, new

Inclusion Terms

Rectal fistula, simple, chronic

Inclusion Terms

Rectal fistula simple, occurring following complete healing

Inclusion Terms
  • Extrasphincteric rectal fistula
  • High intersphincteric rectal fistula
  • Suprasphincteric rectal fistula
  • Transsphincteric rectal fistula
Inclusion Terms

Rectal fistula, complex, new

Inclusion Terms

Rectal fistula, complex, chronic

Inclusion Terms

Rectal fistula complex occurring following complete healing

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

Parent Code (Less Specific):

About ICD-10-CM Code K60.4 (Rectal fistula)

ICD-10-CM code K60.4 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM K60.4 became effective on October 1, 2024.

This page provides detailed information about K60.4 - Rectal fistula. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Rectal fistula.