Q43.6

Congenital fistula of rectum and anus

Billable / specificPOA exempt

Q43.6 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Includes (from Q43)

  • Note: Codes from this chapter are not for use on maternal records

Excludes1

Not coded here — never report together with this code.

  • congenital fistula of anus with absence, atresia and stenosis (Q42.2)
  • congenital fistula of rectum with absence, atresia and stenosis (Q42.0)
  • congenital rectovaginal fistula (Q52.2)
  • congenital urethrorectal fistula (Q64.73)
  • pilonidal fistula or sinus (L05.-)

Excludes2

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

  • inborn errors of metabolism (E70-E88) (from Q43)

Also known as

  • Fistula, anus, anal, congenital
  • Fistula, fecal, congenital
  • Fistula, rectum, congenital

Parent code

  • Q43Other congenital malformations of intestineHeader

Related codes

  • Q43.0Meckel's diverticulum (displaced) (hypertrophic)Billable
  • Q43.1Hirschsprung's diseaseBillable
  • Q43.2Other congenital functional disorders of colonBillable
  • Q43.3Congenital malformations of intestinal fixationBillable
  • Q43.4Duplication of intestineBillable
  • Q43.5Ectopic anusBillable
  • Q43.7Persistent cloacaBillable
  • Q43.8Other specified congenital malformations of intestineBillable
  • Q43.9Congenital malformation of intestine, unspecifiedBillable

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