K60.419
Billable codeRectal fistula, simple, unspecified
The ICD-10 code for rectal fistula, simple, unspecified is K60.419.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- K60.411Rectal fistula, simple, initial
- K60.412Rectal fistula, simple, persistent
- K60.413Rectal fistula, simple, recurrent
- K60.419Rectal fistula, simple, unspecified
Associated MS-DRGs
K60.419 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 314Other Circulatory System Diagnoses with MCC
- DRG 315Other Circulatory System Diagnoses with CC
- DRG 316Other Circulatory System Diagnoses without CC/MCC
- DRG 393Other Digestive System Diagnoses with MCC
- DRG 394Other Digestive System Diagnoses with CC
- DRG 395Other Digestive System Diagnoses without CC/MCC