K60.4 Rectal fistula

Non-billable header with 3 child codes.

Applicable to

• Fistula of rectum to skin

Excludes1 (never code together)

• congenital fistula (Q43.6)
• rectovaginal fistula (N82.3)
• vesicorectal fistual (N32.1)

Code first

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

Applies from K60 Fissure and fistula of anal and rectal regions

Excludes1 (never code together)

• fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-)

Excludes2 (not included here)

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

Codes under K60.4

• K60.40 Rectal fistula, unspecified
• K60.41 Rectal fistula, simple
• K60.42 Rectal fistula, complex

Approximate ICD-9-CM (GEMs)

• 565.1 Anal fistula (approximate)

Code annotations containing back-references to K60.4

Back-references to K60.4

• Use Additional: K50 Crohn's disease [regional enteritis] ("rectal fistula (K60.4-)")
• Use Additional: K51 Ulcerative colitis ("rectal fistula (K60.4-)")

Back-references to K60

• Type 1 Excludes: K62.6 Ulcer of anus and rectum ("fissure and fistula of anus and rectum (K60.-)")
• Type 2 Excludes: K62.81 Anal sphincter tear (healed) (nontraumatic) (old) ("anal fissure (K60.-)")
• Type 2 Excludes: K63.2 Fistula of intestine ("fistula of anal and rectal regions (K60.-)")

Nearby codes

• K60.32 Anal fistula, complex
• K60.321 Anal fistula, complex, initial
• K60.322 Anal fistula, complex, persistent
• K60.323 Anal fistula, complex, recurrent
• K60.329 Anal fistula, complex, unspecified
• K60.4 Rectal fistula (this code)
• K60.40 Rectal fistula, unspecified
• K60.41 Rectal fistula, simple
• K60.411 Rectal fistula, simple, initial
• K60.412 Rectal fistula, simple, persistent
• K60.413 Rectal fistula, simple, recurrent