2027 ICD-10-CM Diagnosis Code K63.2Fistula of intestine

ICD-10-CM Codes›K00–K95›K55-K64›K63

ICD-10-CM K63.2
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K63.2 is a billable ICD-10-CM diagnosis code for fistula of intestine. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 1 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified and unspecified gastrointestinal disorders.

Code Identity

ICD-10-CM Code
K63.2
Billable Status
Yes — Valid for Submission
Code Describes
Fistula of intestine
Short Description
Fistula of intestine
Same as the full description in the CMS dataset.
Parent Code
Other diseases of intestine

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK55-K64Other diseases of intestines
CategoryK63Other diseases of intestine
This CodeK63.2Fistula of intestine

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abdominal wall fistula
  • Acquired choledochojejunal fistula
  • Arterial-enteric fistula
  • Colocolic fistula
  • Colonic fistula
  • Colovascular fistula
  • Enteroanal fistula
  • Enterocolic fistula
  • Enterocutaneous fistula
  • Enteroenteric fistula
  • External large bowel fistula
  • External small bowel fistula
  • Fecal fistula
  • Fistula of bile duct
  • Fistula of intestine
  • Fistula of intestine to abdominal wall
  • Fistula of large intestine due to diverticulitis
  • Fistula of sigmoid colon
  • Fistula of small intestine due to diverticulitis
  • Ileocutaneous fistula
  • Ileorectal fistula
  • Ileoumbilical fistula
  • Internal large bowel fistula
  • Internal small bowel fistula
  • Intestinourinary fistula
  • Jejunal fistula
  • Jejunocolic fistula
  • Jejunocutaneous fistula
  • Jejunoenteric fistula
  • Large bowel fistula
  • Small bowel fistula
  • Umbilical fistula
  • Vascular graft enteric fistula

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K63.2: its own notes plus those printed at Chapter 11. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On K63.2 itself
  • fistula of anal and rectal regions (K60.-)
  • fistula of appendix (K38.3)
  • intestinal-genital fistula, female (N82.2-N82.4)
  • vesicointestinal fistula (N32.1)
From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 codes
  • 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)

Code Also

A second code may be needed to fully describe the condition; the note gives no sequencing direction.

  • if applicable, disruption of internal operation (surgical) wound (T81.32-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

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

CCSR DIG025
Other specified and unspecified gastrointestinal disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Intestinal Fistula

    an abnormal communication between the small or large intestine and another organ or cavity.

Patient EducationClinical

Colonic Diseases

Your colon, also known as the large intestine, is part of your digestive system. It's a long, hollow tube at the end of your digestive tract where your body makes and stores stool. Many disorders affect the colon's ability to work properly. Some of these include:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K63.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
569.81 Intestinal fistula
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About K63.2Overview

What is the ICD-10 code for fistula of intestine?

The ICD-10-CM code for fistula of intestine is K63.2 (sometimes written as K632). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is K63.2 (Other diseases of intestine) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report fistula of intestine on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does K63.2 group to?

When fistula of intestine is the principal diagnosis on an inpatient stay, it groups to MS-DRG 394, 395, 393, with relative weights from 0.6379 to 1.5877 depending on complications. Higher weights mean higher Medicare reimbursement.

Is K63.2 a CC or MCC?

CMS lists K63.2 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 1 closely related codes in its exclusion list.

Can K63.2 be reported with K31.6?

Not as a rule. The Excludes1 note on K63.2 lists "fistula of duodenum (K31.6)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).