ICD-10-CM Codes
K00-K95 Diseases of the digestive system
K55-K64 Other diseases of intestines
K60- Fissure and fistula of anal and rectal regions
2021 ICD-10-CM Diagnosis Code K60.5

2021 ICD-10-CM Diagnosis Code K60.5

Anorectal fistula

2016

2017

2018

2019

2020

2021

Billable/Specific Code

K60.5 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 K60.5 became effective on October 1, 2020.
This is the American ICD-10-CM version of K60.5 - other international versions of ICD-10 K60.5 may differ.

The following code(s) above K60.5 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 K60.5:

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
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

Approximate Synonyms

Fistula, anal/rectal

Clinical Information

A disorder characterized by an abnormal communication between the opening in the anal canal to the perianal skin.
A pathologic tract that connects an opening in the anal canal to the perianal skin. In the vast majority of cases there is a history of perianal abscess.

ICD-10-CM K60.5 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 K60.5 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 K60.5:

Fistula (cutaneous) L98.8
ICD-10-CM Diagnosis Code L98.8
Other specified disorders of the skin and subcutaneous tissue
- anorectal K60.5

ICD-10-CM Codes Adjacent To K60.5

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

K62 Other diseases of anus and rectum

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

2021 ICD-10-CM Diagnosis Code K60.5

Anorectal fistula

Diseases of the digestive system

Fissure and fistula of anal and rectal regions

Other specified disorders of the skin and subcutaneous tissue