2020 ICD-10-CM Diagnosis Code K60

Fissure and fistula of anal and rectal regions

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • K60 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM K60 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of K60 - other international versions of ICD-10 K60 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as K60. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • fissure and fistula of anal and rectal regions with abscess or cellulitis (
    ICD-10-CM Diagnosis Code K61
    • K61 Abscess of anal and rectal regions
    K61.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (K60) and the excluded code together.
  • anal sphincter tear (healed) (nontraumatic) (old) (
    ICD-10-CM Diagnosis Code K62.81

    Anal sphincter tear (healed) (nontraumatic) (old)

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Tear of anus, nontraumatic
    Type 2 Excludes
    • anal fissure (K60.-)
    • anal sphincter tear (healed) (old) complicating delivery (O34.7-)
    • traumatic tear of anal sphincter (S31.831)
    Use Additional
    • code for any associated fecal incontinence (R15.-)
    K62.81
    )
The following code(s) above K60 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to K60:
  • K00-K95
    2020 ICD-10-CM Range K00-K95

    Diseases of the digestive system

    Type 2 Excludes
    • 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)
    Diseases of the digestive system
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to K60:
  • Type 1 Excludes: K62.6
    ICD-10-CM Diagnosis Code K62.6

    Ulcer of anus and rectum

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Solitary ulcer of anus and rectum
    • Stercoral ulcer of anus and rectum
    Type 1 Excludes
    • fissure and fistula of anus and rectum (K60.-)
    • ulcerative colitis (K51.-)
  • Type 2 Excludes: K62.81
    , K63.2
    ICD-10-CM Diagnosis Code K62.81

    Anal sphincter tear (healed) (nontraumatic) (old)

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Tear of anus, nontraumatic
    Type 2 Excludes
    • anal fissure (K60.-)
    • anal sphincter tear (healed) (old) complicating delivery (O34.7-)
    • traumatic tear of anal sphincter (S31.831)
    Use Additional
    • code for any associated fecal incontinence (R15.-)
    ICD-10-CM Diagnosis Code K63.2

    Fistula of intestine

      2016 2017 2018 2019 2020 Billable/Specific Code
    Type 1 Excludes
    Type 2 Excludes
    • fistula of anal and rectal regions (K60.-)
    • fistula of appendix (K38.3)
    • intestinal-genital fistula, female (N82.2-N82.4)
    • vesicointestinal fistula (N32.1)
ICD-10-CM Codes Adjacent To K60
K59.04 Chronic idiopathic constipation
K59.09 Other constipation
K59.1 Functional diarrhea
K59.2 Neurogenic bowel, not elsewhere classified
K59.3 Megacolon, not elsewhere classified
K59.31 Toxic megacolon
K59.39 Other megacolon
K59.4 Anal spasm
K59.8 Other specified functional intestinal disorders
K59.9 Functional intestinal disorder, unspecified
K60 Fissure and fistula of anal and rectal regions
K60.0 Acute anal fissure
K60.1 Chronic anal fissure
K60.2 Anal fissure, unspecified
K60.3 Anal fistula
K60.4 Rectal fistula
K60.5 Anorectal fistula
K61 Abscess of anal and rectal regions
K61.0 Anal abscess
K61.1 Rectal abscess
K61.2 Anorectal abscess

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.