2025 ICD-10-CM Diagnosis Code K60.4

by

Rectal fistula

  • K60.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • ICD-10-CM K60.4 is a new 2025 ICD-10-CM code that became effective on October 1, 2024.
  • This is the American ICD-10-CM version of K60.4 – other international versions of ICD-10 K60.4 may differ.

Applicable To

  • Fistula of rectum to skin

Code First

  • , if applicable:
  • Crohn’s disease (K50.-)
  • ulcerative colitis (K51.-)

Type 1 Excludes

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

The following code(s) above K60.4 contain annotation back-references

 that may be applicable to K60.4:

  • K00-K95  Diseases of the digestive system
  • K60  Fissure and fistula of anal and rectal regions

Clinical Information

  • A disorder characterized by an abnormal communication between the rectum and another organ or anatomic site.
  • An abnormal anatomical passage connecting the rectum to the outside, with an orifice at the site of drainage.
  • An abnormal communication between the rectum and another organ or cavity.

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • 2024 (effective 10/1/2023): No change
  • 2025 (effective 10/1/2024): Deleted code
  • 2025 (effective 10/1/2024): New code

Code annotations containing back-references to K60.4:

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