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ICD-10-CM Codes
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K00-K95
Diseases of the digestive system
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K55-K64
Other diseases of intestines
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K60-
Fissure and fistula of anal and rectal regions
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2021 ICD-10-CM Diagnosis Code K60.4
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 ExcludesType 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.
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:
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
- 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
K59.8 Other specified functional intestinal disorders
K59.89 Other specified functional intestinal disorders
K59.9 Functional intestinal disorder, unspecified
K60 Fissure and fistula of anal and rectal regions
K60.1 Chronic anal fissure
K60.2 Anal fissure, unspecified
K60.4
Rectal fistula
K61 Abscess of anal and rectal regions
K61.3 Ischiorectal 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.