MCMedicalCodingSoftware
K60.41

K60.41: Rectal fistula, simple

Non-billable headerICD-10-CM

K60.41 is a non-billable header ICD-10-CM code for rectal fistula, simple. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

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

  • Low intersphincteric rectal fistula
  • Superficial rectal fistula

Excludes1 inherited from the categories above K60.41

A category’s note binds every code beneath it.

Written on K60.4: Rectal fistula

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

Excludes2 inherited from the categories above K60.41

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 K60.41

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 K60.41

4 child codes. Green means billable.

Other codes under K60.4

ICD-10-CMFY2027· effective October 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.