ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K60.322

Billable / Specific

Anal fistula, complex, persistent

K60
Block
1
Synonyms
239
LCDs
8
Payer Policies
2
Linked CPTs

About ICD-10-CM K60.322

ICD-10-CM code K60.322 represents Anal fistula, complex, persistent. This is a billable/specific code in the Digestive System chapter (block K60). The 2026 edition of ICD-10-CM K60.322 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K60.322. Per CMS ICD-10-CM Tabular 2026.

  • Anal fistula, complex, chronic

Medicare LCD Coverage for K60.322

Local Coverage Determinations (LCDs) from CMS MACs that list K60.322 as a covered diagnosis.

239 LCDs

Showing top 10 of 239 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76872 →
CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76873 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64646 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 52287 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT J0589 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64616 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64611 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 64650 →
CMS LCD: Billing and Coding: Botulinum Toxin Injections
Article ID: 57186, Effective: 2026-04-09 00:00:00, 341 covered, 0 non-covered
CPT 31570 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K60.322.

8 policies

5 Medicare

Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56632
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57185
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-57186
Billing and Coding: Transrectal Ultrasound
Policy ID: ART-57427
Billing and Coding: Botulinum Toxin Injections
Policy ID: ART-59707

CPT Codes Commonly Billed with K60.322

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 76873 CMS LCD: Billing and Coding: Transrectal Ultrasound CMS LCD
  • 76872 CMS LCD: Billing and Coding: Transrectal Ultrasound CMS LCD

ICD-10 K60.322, Billing FAQ

Is ICD-10 code K60.322 billable? +

Yes, K60.322 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to K60.322? +

ICD-10 K60.322 includes: Anal fistula, complex, chronic.

What CPT codes are commonly billed with K60.322? +

Procedures frequently paired with K60.322 include: 76873, 76872.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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