ICD-10 Code K60 – Fissure and fistula of anal and rectal regions (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Fissure and fistula of anal and rectal regions is K60.
2026 ICD-10-CM Diagnosis Code K60 – Fissure and fistula of anal and rectal regions

What it is

K60 covers fissures and fistulas involving the anal or rectal area. Use it when the record shows a tear, abnormal tract, or both in this region.

Clinical signs

Typical findings include anal pain, bleeding, discharge, or recurrent drainage. Clinical features vary; refer to documentation for whether the condition is a fissure, fistula, or both.

When to use this code

Use K60 when the provider documents an anal fissure, anorectal fistula, or a related condition in the anal or rectal region. It may also fit follow-up visits if the diagnosis remains active and is still being managed. Check documentation for the exact anatomic site and type.

Do not use for

Do not use this code for hemorrhoids, perianal abscess alone, or other rectal disorders without a documented fissure or fistula. If the note is nonspecific, check documentation.

Coding tip

Code to the most specific documented condition and site; if the record does not distinguish fissure from fistula, confirm the provider’s wording.

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