Fissure and fistula of anal and rectal regions
In Other diseases of intestines (K55-K64), chapter 11: Diseases of the Digestive System
30 billable codes under K60: none are a CC or MCC; none map to an HCC.
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Instructional notes
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.
All codes under K60
K60 can't be used on a claim. Pick a billable code below; grey headings group them.
- K60.0Acute anal fissure
- K60.1Chronic anal fissure
- K60.2Anal fissure, unspecified
- K60.3Anal fistula
- K60.30Anal fistula, unspecified
- K60.31Anal fistula, simple
- K60.311Anal fistula, simple, initial
- K60.312Anal fistula, simple, persistent
- K60.313Anal fistula, simple, recurrent
- K60.319Anal fistula, simple, unspecified
- K60.32Anal fistula, complex
- K60.321Anal fistula, complex, initial
- K60.322Anal fistula, complex, persistent
- K60.323Anal fistula, complex, recurrent
- K60.329Anal fistula, complex, unspecified
- K60.4Rectal fistula
- K60.40Rectal fistula, unspecified
- K60.41Rectal fistula, simple
- K60.411Rectal fistula, simple, initial
- K60.412Rectal fistula, simple, persistent
- K60.413Rectal fistula, simple, recurrent
- K60.419Rectal fistula, simple, unspecified
- K60.42Rectal fistula, complex
- K60.421Rectal fistula, complex, initial
- K60.422Rectal fistula, complex, persistent
- K60.423Rectal fistula, complex, recurrent
- K60.429Rectal fistula, complex, unspecified
- K60.5Anorectal fistula
- K60.50Anorectal fistula, unspecified
- K60.51Anorectal fistula, simple
- K60.511Anorectal fistula, simple, initial
- K60.512Anorectal fistula, simple, persistent
- K60.513Anorectal fistula, simple, recurrent
- K60.519Anorectal fistula, simple, unspecified
- K60.52Anorectal fistula, complex
- K60.521Anorectal fistula, complex, initial
- K60.522Anorectal fistula, complex, persistent
- K60.523Anorectal fistula, complex, recurrent
- K60.529Anorectal fistula, complex, unspecified
K60 MS-DRGs
As the principal diagnosis, all 30 billable codes under K60 group to MS-DRG 393, 394, or 395 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Other codes that refer to K60
Notes on these codes point to K60.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Anal Disorders
Your anus is the opening at the end of your large intestine. It is where stool (poop) leaves your body. Problems with the anus are common. They include:
Read more about anal disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
