Valid for Submission
K60.4 is a billable diagnosis code used to specify a medical diagnosis of rectal fistula. The code K60.4 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code K60.4 might also be used to specify conditions or terms like enterocutaneous fistula, external large bowel fistula, perianal fistula, rectal fistula or rectum to skin fistula.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K60.4:
Inclusion TermsInclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Fistula of rectum to skin
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K60.4 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Enterocutaneous fistula
- External large bowel fistula
- Perianal fistula
- Rectal fistula
- Rectum to skin fistula
- RECTAL FISTULA-. an abnormal anatomical passage connecting the rectum to the outside with an orifice at the site of drainage.
Diagnostic Related Groups - MS-DRG Mapping
Convert K60.4 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code K60.4 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
A fistula is an abnormal connection between two parts inside of the body. Fistulas may develop between different organs, such as between the esophagus and the windpipe or the bowel and the vagina. They can also develop between two blood vessels, such as between an artery and a vein or between two arteries.
Some people are born with a fistula. Other common causes of fistulas include
- Complications from surgery
- Diseases, such as Crohn's disease or ulcerative colitis
Treatment depends on the cause of the fistula, where it is, and how bad it is. Some fistulas will close on their own. In some cases, you may need antibiotics and/or surgery.
- Fistula (Medical Encyclopedia)
- Gastrointestinal fistula (Medical Encyclopedia)
[Learn More in MedlinePlus]
The rectum is the lower part of your large intestine where your body stores stool. Problems with rectum are common. They include hemorrhoids, abscesses, incontinence and cancer.
Many people are embarrassed to talk about rectal troubles. But seeing your doctor about problems in this area is important. This is especially true if you have pain or bleeding. Treatments vary depending on the particular problem.
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
- Anorectal abscess (Medical Encyclopedia)
- Digital rectal exam (Medical Encyclopedia)
- Lower GI Series - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
- Proctitis (Medical Encyclopedia)
- Rectal biopsy (Medical Encyclopedia)
- Rectal prolapse (Medical Encyclopedia)
- Rectal prolapse repair (Medical Encyclopedia)
[Learn More in MedlinePlus]