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ICD-10-CM 2027 diagnosis code

K60.3Anal fistula

Not billable — use a more specific code

K60.3 is a header code, so it can't be reported by itself. Choose one of the 3 more specific codes beneath it.

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About K60.3

K60.3 is the ICD-10-CM diagnosis code for anal fistula. It belongs to category K60 (fissure and fistula of anal and rectal regions), block K55-K64 (other diseases of intestines) and chapter 11 (diseases of the digestive system). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.

Within K60 (fissure and fistula of anal and rectal regions), K60.3 is specifically for anal fistula. Related codes cover acute anal fissure (K60.0), chronic anal fissure (K60.1), anal fissure, unspecified (K60.2), rectal fistula (K60.4) and Anorectal fistula (K60.5).

To report this condition, pick the subcode that matches the documentation: K60.30 (unspecified), K60.31 (simple) and K60.32 (complex).

Don't report K60.3 together with the conditions in its Excludes1 note: congenital fistula (Q43.6).

Code first , if applicable: Crohn's disease (K50.-) and ulcerative colitis (K51.-).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2025 (expanded into subcodes).

Before ICD-10, this condition was coded in ICD-9-CM as 565.1 (anal fistula).

Specific codes under K60.3

Coding notes

Excludes1Not coded here — never report together with this code
  • congenital fistula (Q43.6)
Code firstSequence the underlying condition first
  • , if applicable:
  • Crohn's disease (K50.-)
  • ulcerative colitis (K51.-)

Notes that apply from higher levels

Instructions written at a parent level also apply to K60.3.

› From K60 Fissure and fistula of anal and rectal regions
Excludes2
  • abscess or cellulitis of anal and rectal regions (K61.-)
  • anal sphincter tear (healed) (nontraumatic) (old) (K62.81)

Broader instructions also apply from Chapter 11: Diseases of the digestive system.

Codes whose notes reference K60.3

  • K50Use additional code
  • K51Use additional code
  • T81.83Use additional code

ICD-9-CM equivalent

Converter →
  • 565.1Anal fistulaapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2025 (effective 10/1/2024): Expanded — no longer billable

Common questions about K60.3

Is K60.3 billable?

No. K60.3 is a header code. Report one of its more specific subcodes instead.

What is the ICD-9 code for K60.3?

The CMS General Equivalence Mappings map K60.3 to ICD-9-CM 565.1.