Rectal fistula, complex, recurrent
Billable / specific
K60.423 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Inclusion terms
Applicable to
- Rectal fistula complex occurring following complete healing
Excludes1
Not coded here — never report together with this code.
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.
Code also
An additional code may be needed.
Also known as
- Rectal fistula complex occurring following complete healing
- Fistula, rectal, complex, occurring following complete healing
- Fistula, rectal, complex, recurrent
Parent code
- K60.42Rectal fistula, complexHeader