ICD-10 K60
Non-Billable HeaderFissure and fistula of anal and rectal regions
About ICD-10-CM K60
ICD-10-CM code K60 represents Fissure and fistula of anal and rectal regions. This is a non-billable header code in the Digestive System chapter (block K60). The 2026 edition of ICD-10-CM K60 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with K60. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-)
Type 2 Excludes
Not included here, the excluded code is not part of K60, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- abscess or cellulitis of anal and rectal regions (K61.-)
- anal sphincter tear (healed) (nontraumatic) (old) (K62.81)
Medicare LCD Coverage for K60
Local Coverage Determinations (LCDs) from CMS MACs that list K60 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K60.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but K60 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with K60
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To K60
Other codes in section K55-K64 (Other diseases of intestines).
ICD-10 K60, Billing FAQ
Is ICD-10 code K60 billable? +
No, K60 is a non-billable header code. Use a more specific child code from block K60 when submitting claims.
What codes are Type 1 Excludes for K60? +
Type 1 Excludes (never code together with K60): fissure and fistula of anal and rectal regions with abscess or cellulitis (K61.-)
What codes are Type 2 Excludes for K60? +
Type 2 Excludes (may be coded together when both conditions exist): abscess or cellulitis of anal and rectal regions (K61.-); anal sphincter tear (healed) (nontraumatic) (old) (K62.81)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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