K60.42

Rectal fistula, complex

Header / non-billable

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This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · K60.42

Code also

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

Synonyms

Extrasphincteric rectal fistula High intersphincteric rectal fistula Suprasphincteric rectal fistula Transsphincteric rectal fistula

Inherited from K60.4Rectal fistula

Excludes 1

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

Code first

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

Synonyms

Fistula of rectum to skin

Inherited from K60Fissure and fistula of anal and rectal regions

Excludes 2

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

Inherited from chapter 11Diseases of the digestive system

Excludes 2

certain conditions originating in the perinatal period (P04-P96) certain infectious and parasitic diseases (A00-B99) complications of pregnancy, childbirth and the puerperium (O00-O9A) congenital malformations, deformations and chromosomal abnormalities (Q00-Q99) endocrine, nutritional and metabolic diseases (E00-E88) injury, poisoning and certain other consequences of external causes (S00-T88) neoplasms (C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Official Guidelines for K60.42

FY 2026 ›

I.C.11Chapter-specific guidanceChapter 11: Diseases of the Digestive System (K00-K95)