2021 ICD-10-CM Diagnosis Code K60.4

Rectal fistula

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • K60.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM K60.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of K60.4 - other international versions of ICD-10 K60.4 may differ.
Applicable To
  • Fistula of rectum to skin
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 K60.4. 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.
  • rectovaginal fistula (
    ICD-10-CM Diagnosis Code N82.3

    Fistula of vagina to large intestine

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Rectovaginal fistula
    N82.3
    )
  • vesicorectal fistual (
    ICD-10-CM Diagnosis Code N32.1

    Vesicointestinal fistula

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Vesicorectal fistula
    N32.1
    )
The following code(s) above K60.4 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 K60.4:
  • K00-K95
    2021 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
  • K60
    ICD-10-CM Diagnosis Code K60

    Fissure and fistula of anal and rectal regions

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-)
    Type 2 Excludes
    • anal sphincter tear (healed) (nontraumatic) (old) (K62.81)
    Fissure and fistula of anal and rectal regions
Clinical Information
  • A disorder characterized by an abnormal communication between the rectum and another organ or anatomic site.
  • An abnormal anatomical passage connecting the rectum to the outside, with an orifice at the site of drainage.
  • An abnormal communication between the rectum and another organ or cavity.
ICD-10-CM K60.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 393 Other digestive system diagnoses with mcc
  • 394 Other digestive system diagnoses with cc
  • 395 Other digestive system diagnoses without cc/mcc

Convert K60.4 to ICD-9-CM

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
  • 2021 (effective 10/1/2020): No change

Diagnosis Index entries containing back-references to K60.4:
  • Fistula (cutaneous) L98.8
    ICD-10-CM Diagnosis Code L98.8

    Other specified disorders of the skin and subcutaneous tissue

      2016 2017 2018 2019 2020 2021 Billable/Specific Code

ICD-10-CM Codes Adjacent To K60.4
K59.4 Anal spasm
K59.8 Other specified functional intestinal disorders
K59.81 Ogilvie syndrome
K59.89 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
K61.3 Ischiorectal abscess
K61.31 Horseshoe abscess
K61.39 Other ischiorectal abscess
K61.4 Intrasphincteric abscess
K61.5 Supralevator abscess

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