2026 ICD-10-CM Diagnosis Code K60.30Anal fistula, unspecified

ICD-10-CM Codes›K00–K95›K55-K64›K60

ICD-10-CM K60.30
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K60.30 is a billable ICD-10-CM diagnosis code for anal fistula, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. Coders also document this condition as anal fissure. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Anal and rectal conditions.

Code Identity

ICD-10-CM Code
K60.30
Billable Status
Yes — Valid for Submission
Code Describes
Anal fistula, unspecified
Short Description
Anal fistula, unspecified
Same as the full description in the CMS dataset.
Parent Code
K60.3
Anal fistula

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK55-K64Other diseases of intestines
CategoryK60Fissure and fistula of anal and rectal regions
This CodeK60.30Anal fistula, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Anal fissure
  • Anal fissure and fistula
  • Anal fistula
  • Anorectal fissure
  • Direct anal fistula
  • High anal fistula
  • Perianal fistula
  • Perianal fistula due to Crohn's disease
  • Suprasphincteric anal fistula

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Anal fistula NOS

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Fistula(cutaneous)
      • anus, anal (recurrent) (infectional)
    • Fistula(cutaneous)
      • in ano
    • Fistula(cutaneous)
      • perianal

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG015
Anal and rectal conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Code History & ChangesHistory

Replacement K60.30 replaces the following previously assigned code(s):

  • K60.3 - Anal fistula
FY 2025AddedAdded to the ICD-10-CM code setEffective October 1, 2024.
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K60.30Overview

Is K60.30 (Anal fistula) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report anal fistula, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K60.30 group to?

When anal fistula, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.