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K60.4

Non-billable

Rectal fistula

Rectal fistula

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

K55-K64

Parent Code

K60

Child Codes

3

Coding Notes

Inclusion Terms

Alternative clinical terms for this condition

  • Fistula of rectum to skin

Excludes 1

Codes that cannot be used together with this code (mutual exclusion)

  • fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-)
  • congenital fistula (Q43.6)
  • rectovaginal fistula (N82.3)
  • vesicorectal fistual (N32.1)

Excludes 2

Conditions not included here, but the patient may have both

  • 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)
  • abscess or cellulitis of anal and rectal regions (K61.-)
  • anal sphincter tear (healed) (nontraumatic) (old) (K62.81)

Code First

The underlying condition must be sequenced before this code

  • , if applicable:
  • Crohn's disease (K50.-)
  • ulcerative colitis (K51.-)

Child Codes (3)

K60.40

Rectal fistula, unspecified

BillableK60.41

Rectal fistula, simple

K60.42

Rectal fistula, complex

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is the ICD-10 code for rectal fistula?

The ICD-10-CM code for rectal fistula is K60.4. The full clinical description is "Rectal fistula". K60.4 is a non-billable header code. Use a more specific child code for billing purposes.

What does ICD-10 code K60.4 mean?

ICD-10-CM code K60.4 represents "Rectal fistula". It is classified under Chapter 11: Diseases of the Digestive System and is a non-billable header code. Use a more specific child code for billing purposes.

Is K60.4 a billable code?

No, K60.4 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 3 child codes under K60.4.

What chapter is K60.4 in?

K60.4 is in Chapter 11: Diseases of the Digestive System (codes K00-K95).

What codes cannot be used with K60.4?

K60.4 has Excludes1 notes indicating codes that cannot be used together with it, including: fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-); congenital fistula (Q43.6); rectovaginal fistula (N82.3); and 1 more.

What are the subcategories under K60.4?

K60.4 has 3 child codes, including: K60.40 (Rectal fistula, unspecified), K60.41 (Rectal fistula, simple), K60.42 (Rectal fistula, complex).

What are the UMLS CUIs for K60.4?

K60.4 is linked to 2 UMLS Concept Unique Identifiers: C0267563, C0034884. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.