MCMCB Pro
K60

K60Fissure and fistula of anal and rectal regions

Non-billable headerICD-10-CM

K60 is a non-billable header ICD-10-CM code for fissure and fistula of anal and rectal regions. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

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

Other codes that can never be billed with K60

These codes carry an Excludes1 note pointing at K60. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K60 alone.

  • K62.6Ulcer of anus and rectum

Risk adjustment

K60 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead K60

6 child codes. Green means billable.

Questions about K60

Is K60 a billable ICD-10-CM code?
No. K60 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does K60 sit in the tabular list?
Diseases of the digestive system (K00-K95), in the block Other diseases of intestines (K55-K64).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.