K60.423 – Rectal fistula, complex, recurrent

ICD-10-CM 2027 diagnosis code · Other diseases of intestines

Billable code

ICD-10-CM code K60.423
Code
K60.423 (claims format: K60423)
Description
Rectal fistula, complex, recurrent
Billable
Yes – valid for HIPAA-covered transactions
Valid for
Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter
11. Diseases of the digestive system (K00-K95)
Block
K55-K64 Other diseases of intestines
Parent codes
K60 › K60.4 › K60.42

Notes for K60.423

Applicable to:
  • Rectal fistula complex occurring following complete healing

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

K60 – Fissure and fistula of anal and rectal regions

Excludes2 (not included here):
  • abscess or cellulitis of anal and rectal regions (K61.-)
  • anal sphincter tear (healed) (nontraumatic) (old) (K62.81)

K60.4 – Rectal fistula

Applicable to:
  • Fistula of rectum to skin
Excludes1 (not coded here):
  • congenital fistula (Q43.6)
  • rectovaginal fistula (N82.3)
  • vesicorectal fistual (N32.1)
Code first:
  • , if applicable:
  • Crohn's disease (K50.-)
  • ulcerative colitis (K51.-)

K60.42 – Rectal fistula, complex

Applicable to:
  • Extrasphincteric rectal fistula
  • High intersphincteric rectal fistula
  • Suprasphincteric rectal fistula
  • Transsphincteric rectal fistula
Code also:
  • , if applicable:
  • perianal abscess (K61.0)
  • rectovaginal fistula (N82.3)
  • stenosis of anus and rectum (K62.4)

Index terms for K60.423

Entries in the ICD-10-CM alphabetic index that lead to this code:

Related codes in K60.42

Frequently asked questions

What is ICD-10 code K60.423?

K60.423 is the ICD-10-CM code for rectal fistula, complex, recurrent, in the block K55-K64 (Other diseases of intestines).

Is K60.423 a billable code?

Yes. K60.423 is a billable/specific code that can be used to indicate a diagnosis for reimbursement purposes.

What category does K60.423 belong to?

It belongs to category K60 – Fissure and fistula of anal and rectal regions.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.