K60.32

K60.32: Anal fistula, complex

Non-billable headerICD-10-CM

K60.32 is a non-billable header ICD-10-CM code for anal fistula, complex. It cannot be billed on its own: choose one of the more specific child codes below.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

, if applicable:
perianal abscess (K61.0)
rectovaginal fistula (N82.3)
stenosis of anus and rectum (K62.4)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Extrasphincteric anal fistula
High intersphincteric anal fistula
Suprasphincteric anal fistula
Transsphincteric anal fistula

Excludes1 inherited from the categories above K60.32

A category’s note binds every code beneath it.

Written on K60.3: Anal fistula

congenital fistula (Q43.6)

Excludes2 inherited from the categories above K60.32

Not part of this code, but both may be coded when both are present.

Written on K60: Fissure and fistula of anal and rectal regions

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 K60.32

Their own Excludes1 notes name this code, so the conflict is not listed above.

K62.6Ulcer of anus and rectum

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead K60.32

4 child codes. Green means billable.