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Code
Description

ICD-10-CM Code K60.4
Rectal fistula

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

K60.4 is a billable ICD code used to specify a diagnosis of rectal fistula. A 'billable code' is detailed enough to be used to specify a medical diagnosis.


The ICD code K60 is used to code Gastrointestinal disease

Gastrointestinal diseases refer to diseases involving the gastrointestinal tract, namely the esophagus, stomach, small intestine, large intestine and rectum, and the accessory organs of digestion, the liver, gallbladder, and pancreas.

MeSH Code: D004066

Organs of the gastrointestinal tract

Coding Notes for K60.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Fistula of rectum to skin
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Rectovaginal fistula - instead, use code N82.3
Vesicorectal fistual - instead, use code N32.1

MS-DRG Mapping

  • DRG Group #393-395 - Other digestive system diagnoses with MCC.
  • DRG Group #393-395 - Other digestive system diagnoses with CC.
  • DRG Group #393-395 - Other digestive system diagnoses without CC or MCC.

ICD-10-CM Alphabetical Index References for 'K60.4 - Rectal fistula'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code K60.4. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Anal fistula (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code K60.4 and a single ICD9 code, 565.1 is an approximate match for comparison and conversion purposes.


Parent Code: K60 - Fissure and fistula of anal and rectal regions

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/K604