ICD-10 Code K60.423 – Rectal fistula, complex, recurrent (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Rectal fistula, complex, recurrent is K60.423.
2026 ICD-10-CM Diagnosis Code K60.423 – Rectal fistula, complex, recurrent

What it is

This code identifies a recurrent rectal fistula that is described as complex. It signals an abnormal tract involving the rectal area that has returned after prior treatment or healing.

Clinical signs

Clinical features vary; refer to documentation. Commonly documented findings include persistent or recurring drainage, local irritation, pain, or evidence of a fistulous opening on examination.

When to use this code

Use this code when the provider documents a rectal fistula as both complex and recurrent. It is appropriate when prior episodes, previous repair, or repeated drainage are clearly stated in the record.

Do not infer recurrence from history alone unless the documentation supports it. If the note does not specify complexity or recurrence, check documentation before assigning K60.423.

Do not use for

Do not use this code for a simple or first-time rectal fistula. Also avoid it when the record describes a different anorectal condition or when recurrence is not documented.

Coding tip

Code only what the provider explicitly documents: rectal location, complexity, and recurrence.

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