K60.4

Rectal fistula

Non-billable header

K60.4 is a non-billable header code. Use one of the more specific codes below.

Inclusion terms

Applicable to

  • Fistula of rectum to skin

Excludes1

Not coded here — never report together with this code.

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

Excludes2

Not included here — may be reported together when both conditions exist.

  • certain conditions originating in the perinatal period (P04-P96) (from K60)
  • certain infectious and parasitic diseases (A00-B99) (from K60)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A) (from K60)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) (from K60)
  • endocrine, nutritional and metabolic diseases (E00-E88) (from K60)
  • injury, poisoning and certain other consequences of external causes (S00-T88) (from K60)
  • neoplasms (C00-D49) (from K60)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94) (from K60)
  • abscess or cellulitis of anal and rectal regions (K61.-) (from K60)
  • anal sphincter tear (healed) (nontraumatic) (old) (K62.81) (from K60)

Code first

Sequence the underlying condition first.

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

Also known as

  • Fistula of rectum to skin

Parent code

  • K60Fissure and fistula of anal and rectal regionsHeader

More specific codes K60.4

  • K60.40Rectal fistula, unspecifiedBillable
  • K60.41Rectal fistula, simpleHeader
  • K60.42Rectal fistula, complexHeader

Related codes

  • K60.0Acute anal fissureBillable
  • K60.1Chronic anal fissureBillable
  • K60.2Anal fissure, unspecifiedBillable
  • K60.3Anal fistulaHeader
  • K60.5Anorectal fistulaHeader

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