K60.3
Non-Billable

Anal fistula

Non-Billable / Non-Specific Code

What is Anal fistula?

ICD-10-CM K60.3 is the diagnosis code for Anal fistula. This code falls under the section "Other diseases of intestines" within Chapter 11 — Diseases of the digestive system (K00-K95). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1

Coding Guidelines for K60.3

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as K60.3. They are mutually exclusive:

  • congenital fistula (Q43.6)

ICD-10-CM Code Hierarchy

Understanding where K60.3 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 3 entries
K60.30Anal fistula, unspecifiedBillableK60.31Anal fistula, simpleNon-BillableK60.311Anal fistula, simple, initialBillableK60.312Anal fistula, simple, persistentBillableK60.313Anal fistula, simple, recurrentBillableK60.319Anal fistula, simple, unspecifiedBillableK60.32Anal fistula, complexNon-BillableK60.321Anal fistula, complex, initialBillableK60.322Anal fistula, complex, persistentBillableK60.323Anal fistula, complex, recurrentBillableK60.329Anal fistula, complex, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is K60.3 a billable ICD-10-CM code?

No, K60.3 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does K60.3 mean?

K60.3 is the ICD-10-CM diagnosis code for "Anal fistula". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of K60.3?

The parent code of K60.3 is K60 ("Fissure and fistula of anal and rectal regions"). K60.3 provides a more specific classification within this category.

What section is K60.3 in?

K60.3 is located in Section K55-K64 — "Other diseases of intestines" within Chapter 11 of the ICD-10-CM Tabular List.

What are the sub-codes of K60.3?

K60.3 has 3 sub-code(s) that provide more specific detail: K60.30, K60.31, K60.32.

When should I use K60.3?

Use K60.3 when the patients documented diagnosis matches "Anal fistula" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Anal fistula?

The ICD-10-CM code for Anal fistula is K60.3.

Can K60.3 be used for primary diagnosis?

No, K60.3 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is K60.3 in?

K60.3 is in Chapter 11 of the ICD-10-CM Tabular List.

What conditions are excluded from K60.3?

Type 1 Excludes for K60.3 include: congenital fistula (Q43.6).

Is K60.3 valid for 2026?

Yes, K60.3 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousK60.2Anal fissure, unspecifiedNext →K60.30Anal fistula, unspecified
Code Details
K60.3
Anal fistula
Non-Billable / Non-Specific Code
11 — Diseases of the digestive system (K00-K95)
K55-K64 — Other diseases of intestines
2026 ICD-10-CM