K60.40

✓ Billable

Rectal fistula, unspecified

Diseases of the digestive system (K00-K95)

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Also Known As

Rectal fistula NOS

❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

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

⚠️ Excludes2

inherited

Rules inherited from parent codes.

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

📋 Code Instructions

inherited
  • Code first: , if applicable:
  • Code first: Crohn's disease (K50.-)
  • Code first: ulcerative colitis (K51.-)

Clinical Description

ICD-10-CM code K60.40 represents rectal fistula, unspecified. This code falls under the Diseases of the digestive system (K00-K95) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.

This is a 6-character code at the 5th level of specificity. This is the most specific code available in this subcategory. Coders should note that K60.40 has 3 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code K60.40?

ICD-10-CM code K60.40 is "Rectal fistula, unspecified". It belongs to the category: Diseases of the digestive system (K00-K95).

Is K60.40 a billable ICD-10 code?

Yes, K60.40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are excluded with K60.40?

K60.40 has 3 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Can K60.40 be coded with other codes?

K60.40 has 2 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in K60.4

Other codes in the same category that may be relevant for differential coding:

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Code Information

CodeK60.40
BillableYes
ParentK60.4
CategoryDiseases of the digestive system (K00-K95)
Excludes13 rule(s)
Excludes22 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)