ICD-10 Code K60.413 – Rectal fistula, simple, recurrent (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Rectal fistula, simple, recurrent is K60.413.
2026 ICD-10-CM Diagnosis Code K60.413 – Rectal fistula, simple, recurrent

What it is

This code identifies a recurrent, simple fistula involving the rectum. It indicates an abnormal tract that has returned after prior healing or treatment and is documented as simple rather than complex.

Clinical signs

Clinical features vary; refer to documentation. Common findings may include persistent or recurrent drainage, local irritation, and evidence of a fistulous opening on examination or imaging.

When to use this code

Use K60.413 when the provider documents a rectal fistula that is recurrent and specifically described as simple. Code it when the record supports a return of the same condition after prior resolution. If the note does not clearly identify recurrence or simplicity, check documentation.

Do not use for

Do not use this code for an initial rectal fistula without recurrence, or for a complex fistula. If the documentation describes a different anorectal or perianal fistula, select the more specific code.

Coding tip

Confirm both “simple” and “recurrent” in the provider’s wording before assigning K60.413.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *