InnovaRx Innova Health Strategies

K60.519

Anorectal fistula, simple, unspecified

Billable FY2026 2025-10-01 → 2026-09-30 FY2025–2027 only
This is the unspecified option. 3 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 12 never code together
K60.5code
Excludes1
  • congenital fistula (Q43.6)Q43.6
K60code
Excludes1
  • fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-)K61.-
Excludes2
  • abscess or cellulitis of anal and rectal regions (K61.-)K61.-
  • anal sphincter tear (healed) (nontraumatic) (old) (K62.81)K62.81
K00-K95chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 3
K60.5code
Code first
  • , if applicable:
  • Crohn's disease (K50.-)K50.-
  • ulcerative colitis (K51.-)K51.-
Index entries leading here 1
Alongside this code 3 same parent — K60.51
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
K60.51
Block
K55-K64
Siblings
3

Present FY2025–FY2027.