ICD10BillableValid for clinical use

ICD-10 Code K60.421: Rectal fistula, complex, initial

K60.421 is a billable ICD-10 diagnosis code used to classify Rectal fistula, complex, initial in medical records and claims. You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records. ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the digestive system (K00-K95).

Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026

What is this code?

ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the digestive system (K00-K95).

When is it used?

  • May be used when a clinician documents rectal fistula, complex, initial in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code can be used as a clinically usable diagnosis entry in standardized coding workflows.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.

Code hierarchy

chapter
11Diseases of the digestive system (K00-K95)
block
K55-K64Other diseases of intestines
category
K60Fissure and fistula of anal and rectal regions
category
K60.4Rectal fistula
category
K60.42Rectal fistula, complex
currentK60.42

Official coding notes

Inclusion terms
  • Rectal fistula, complex, new

Where you may see this code

You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.

Related specialists

GastroenterologistGeneral Physician

Coding guidelines

Common synonyms

Rectal fistula, complex, initial

Frequently asked questions

Code details

CodeK60.421
SystemICD10
Display nameRectal fistula, complex, initial
ChapterDiseases of the digestive system (K00-K95)
BlockOther diseases of intestines

Flags

BillableYes
Valid clinical useYes

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

Index terms

Matched terms
Fistula(cutaneous)Fistula(cutaneous)

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.

ICD-10 Code K60.421 for Rectal fistula, complex, initial | HealthAssure