DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

K60 Fissure and fistula of anal and rectal regions

  • Header · not billable

K60 is not billable. The category heads 30 billable codes in FY2027, grouped under 6 subdivisions.

Index → code

  • Fistula (cutaneous)in ano → K60.30
  • Fissure, fissuredanus, anal → K60.2
  • Fistula (cutaneous)perianal → K60.30

Where it sits

  1. Chapter 11 Diseases of the digestive system (K00-K95)
  2. K55-K64 Other diseases of intestines (K55-K64)
  3. K60 Fissure and fistula of anal and rectal regions
Billable codes
30
Subdivisions
6
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
71

Codes in K60

  1. K60.0
    Acute anal fissure
    Billable
  2. K60.1
    Chronic anal fissure
    Billable
  3. K60.2
    Anal fissure, unspecified
    Billable
  4. K60.3
    Anal fistula
    Header
    Excludes1 1, Code first 3

    Excludes1

    • congenital fistula (Q43.6) Q43.6

    Code first

    • , if applicable:
    • Crohn's disease (K50.-) K50
    • ulcerative colitis (K51.-) K51
  5. K60.30
    Anal fistula, unspecified
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anal fistula NOS
  6. K60.31
    Anal fistula, simple
    Header
    Inclusion terms 2

    Inclusion terms

    • Low intersphincteric anal fistula
    • Superficial anal fistula
  7. K60.311
    Anal fistula, simple, initial
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anal fistula, simple, new
  8. K60.312
    Anal fistula, simple, persistent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anal fistula, simple, chronic
  9. K60.313
    Anal fistula, simple, recurrent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anal fistula simple, occurring following complete healing
  10. K60.319
    Anal fistula, simple, unspecified
    Billable
  11. K60.32
    Anal fistula, complex
    Header
    Inclusion terms 4, Code also 4

    Inclusion terms

    • Extrasphincteric anal fistula
    • High intersphincteric anal fistula
    • Suprasphincteric anal fistula
    • Transsphincteric anal fistula

    Code also

    • , if applicable:
    • perianal abscess (K61.0) K61.0
    • rectovaginal fistula (N82.3) N82.3
    • stenosis of anus and rectum (K62.4) K62.4
  12. K60.321
    Anal fistula, complex, initial
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anal fistula, complex, new
  13. K60.322
    Anal fistula, complex, persistent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anal fistula, complex, chronic
  14. K60.323
    Anal fistula, complex, recurrent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anal fistula complex, occurring following complete healing
  15. K60.329
    Anal fistula, complex, unspecified
    Billable
  16. K60.4
    Rectal fistula
    Header
    Inclusion terms 1, Excludes1 3, Code first 3

    Inclusion terms

    • Fistula of rectum to skin

    Excludes1

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

    Code first

    • , if applicable:
    • Crohn's disease (K50.-) K50
    • ulcerative colitis (K51.-) K51
  17. K60.40
    Rectal fistula, unspecified
    Billable
    Inclusion terms 1

    Inclusion terms

    • Rectal fistula NOS
  18. K60.41
    Rectal fistula, simple
    Header
    Inclusion terms 2

    Inclusion terms

    • Low intersphincteric rectal fistula
    • Superficial rectal fistula
  19. K60.411
    Rectal fistula, simple, initial
    Billable
    Inclusion terms 1

    Inclusion terms

    • Rectal, fistula, simple, new
  20. K60.412
    Rectal fistula, simple, persistent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Rectal fistula, simple, chronic
  21. K60.413
    Rectal fistula, simple, recurrent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Rectal fistula simple, occurring following complete healing
  22. K60.419
    Rectal fistula, simple, unspecified
    Billable
  23. K60.42
    Rectal fistula, complex
    Header
    Inclusion terms 4, Code also 4

    Inclusion terms

    • Extrasphincteric rectal fistula
    • High intersphincteric rectal fistula
    • Suprasphincteric rectal fistula
    • Transsphincteric rectal fistula

    Code also

    • , if applicable:
    • perianal abscess (K61.0) K61.0
    • rectovaginal fistula (N82.3) N82.3
    • stenosis of anus and rectum (K62.4) K62.4
  24. K60.421
    Rectal fistula, complex, initial
    Billable
    Inclusion terms 1

    Inclusion terms

    • Rectal fistula, complex, new
  25. K60.422
    Rectal fistula, complex, persistent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Rectal fistula, complex, chronic
  26. K60.423
    Rectal fistula, complex, recurrent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Rectal fistula complex occurring following complete healing
  27. K60.429
    Rectal fistula, complex, unspecified
    Billable
  28. K60.5
    Anorectal fistula
    Header
    Excludes1 1, Code first 3

    Excludes1

    • congenital fistula (Q43.6) Q43.6

    Code first

    • , if applicable:
    • Crohn's disease (K50.-) K50
    • ulcerative colitis (K51.-) K51
  29. K60.50
    Anorectal fistula, unspecified
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anorectal fistula NOS
  30. K60.51
    Anorectal fistula, simple
    Header
    Inclusion terms 2

    Inclusion terms

    • Low intersphincteric anorectal fistula
    • Superficial anorectal fistula
  31. K60.511
    Anorectal fistula, simple, initial
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anorectal fistula, simple, new
  32. K60.512
    Anorectal fistula, simple, persistent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anorectal fistula, simple, chronic
  33. K60.513
    Anorectal fistula, simple, recurrent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anorectal fistula simple, occurring following complete healing
  34. K60.519
    Anorectal fistula, simple, unspecified
    Billable
  35. K60.52
    Anorectal fistula, complex
    Header
    Inclusion terms 4, Code also 4

    Inclusion terms

    • Extrasphincteric anorectal fistula
    • High intersphincteric anorectal fistula
    • Suprasphincteric anorectal fistula
    • Transsphincteric anorectal fistula

    Code also

    • , if applicable:
    • perianal abscess (K61.0) K61.0
    • rectovaginal fistula (N82.3) N82.3
    • stenosis of anus and rectum (K62.4) K62.4
  36. K60.521
    Anorectal fistula, complex, initial
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anorectal fistula, complex, new
  37. K60.522
    Anorectal fistula, complex, persistent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anorectal fistula, complex, chronic
  38. K60.523
    Anorectal fistula, complex, recurrent
    Billable
    Inclusion terms 1

    Inclusion terms

    • Anorectal fistula complex, occurring following complete healing
  39. K60.529
    Anorectal fistula, complex, unspecified
    Billable

Sources of each column.

Instructions

At K60

Excludes2

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

Notes that also apply

Chapter 11 instructions (Excludes2 8): printed on the chapter 11 page.

Index entries

  • Fissure, fissuredanus, anal → K60.2
  • Fistula (cutaneous)anus, anal (recurrent) (infectional) → K60.30
  • Fistula (cutaneous)in ano → K60.30
  • Fistula (cutaneous)perianal → K60.30
  • Fistula (cutaneous)perineorectal → K60.40
  • Fistula (cutaneous)perirectal → K60.40
  • Fistula (cutaneous)rectal (infectional) → K60.40
  • Fistula (cutaneous)rectum (to skin) → K60.40
  • Fistula (cutaneous)anorectal (infectional) → K60.50
  • Fissure, fissuredanus, analacute → K60.0
  • Fissure, fissuredanus, analchronic → K60.1
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)low intersphincteric → K60.31-
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)superficial → K60.31-
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)simple → K60.319
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)extrasphincteric → K60.32-
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)high intersphincteric → K60.32-
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)suprasphincteric → K60.32-
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)transsphincteric → K60.32-
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)complex → K60.329
  • Fistula (cutaneous)rectal (infectional)low intersphincteric → K60.41-
  • Fistula (cutaneous)rectal (infectional)superficial → K60.41-
  • Fistula (cutaneous)rectal (infectional)simple → K60.419
  • Fistula (cutaneous)rectal (infectional)extrasphincteric → K60.42-
  • Fistula (cutaneous)rectal (infectional)high intersphincteric → K60.42-
  • Fistula (cutaneous)rectal (infectional)suprasphincteric → K60.42-
  • Fistula (cutaneous)rectal (infectional)transsphincteric → K60.42-
  • Fistula (cutaneous)rectal (infectional)complex → K60.429
  • Fistula (cutaneous)anorectal (infectional)low intersphincteric → K60.51-
  • Fistula (cutaneous)anorectal (infectional)superficial → K60.51-
  • Fistula (cutaneous)anorectal (infectional)simple → K60.519
  • Fistula (cutaneous)anorectal (infectional)extrasphincteric → K60.52-
  • Fistula (cutaneous)anorectal (infectional)high intersphincteric → K60.52-
  • Fistula (cutaneous)anorectal (infectional)suprasphincteric → K60.52-
  • Fistula (cutaneous)anorectal (infectional)transsphincteric → K60.52-
  • Fistula (cutaneous)anorectal (infectional)complex → K60.529
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)simpleinitial → K60.311
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)simplenew → K60.311
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)simplechronic → K60.312
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)simplepersistent → K60.312
  • Fistula (cutaneous)anus, anal (recurrent) (infectional)simpleoccurring following complete healing → K60.313

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