K60.4 Rectal fistula

⚠ Non-Billable ICD-10-CM 2026
Open K60.4 in Web App →

The ICD-10-CM code for Rectal fistula is K60.4 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
K55-K64: Other diseases of intestines (K55-K64)
Category K60
40 codes (30 billable)
FY2026 Status
Stable since FY2024
Excludes1
Not coded here. These conditions should NOT be coded together with K60.4.
  • congenital fistula (Q43.6)
  • rectovaginal fistula (N82.3)
  • vesicorectal fistual (N32.1)
Code First
  • , if applicable:
  • Crohn's disease (K50.-)
  • ulcerative colitis (K51.-)

Inclusion Terms

  • Fistula of rectum to skin

U.S. Hospital Utilization

  • An estimated 2,280 U.S. inpatient stays in 2023 included K60.4 among the documented diagnoses.
  • 410 stays listed it as the principal diagnosis.

Source: National Inpatient Sample (NIS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, 2016–2023. National survey-weighted estimates.

Official Coding Guidelines

Chapter 11 reserved for future expansion

11. Chapter 11: Diseases of the Digestive System (K00-K95) Reserved for future guideline expansion

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.11

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

Search all 70,000+ ICD-10-CM codes →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

Get HCC Mappings, Clinical Summaries, and More

Access premium features including HCC risk adjustment, FDA drug indications, AI coding assistant, and comprehensive clinical context.

Start Free Trial