K60.42
Header — not billableRectal fistula, complex
The ICD-10 code for rectal fistula, complex is K60.42.
K60.42 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 4 more specific codes below.
Clinical notes
Code also
Two codes may be needed to fully describe a condition, but unlike Code First/Use Additional Code, the sequencing order is not mandated by convention.
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Extrasphincteric rectal fistula
- High intersphincteric rectal fistula
- Suprasphincteric rectal fistula
- Transsphincteric rectal fistula
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- K60.40Rectal fistula, unspecified
- K60.41Rectal fistula, simplenon-billable header
- K60.42Rectal fistula, complexnon-billable header