ICD-10 · PDGM grouping
K60 Fissure and fistula of anal and rectal regions
All 30 codes in the K60 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
30
Can lead a claim
30
Cannot lead a claim
0
What CMS assigns to K60
All 30 codes group to MMTA - Gastrointestinal tract and Genitourinary system. None of the 30 is assigned a comorbidity subgroup. Every code can lead a claim. CMS attaches a code-first note to 27 of the 30.
Code first
CMS grouper convention 101, on K60.30, K60.311, K60.312, K60.313, K60.319, K60.321, K60.322, K60.323, K60.329, K60.40, K60.411, K60.412, K60.413, K60.419, K60.421, K60.422, K60.423, K60.429, K60.50, K60.511, K60.512, K60.513, K60.519, K60.521, K60.522, K60.523, K60.529. Code first:
- , if applicable:
- Crohn's disease (K50.-)
- ulcerative colitis (K51.-)
Every code in K60
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| K60.0 | Acute anal fissure | Can lead a claim | J | None |
| K60.1 | Chronic anal fissure | Can lead a claim | J | None |
| K60.2 | Anal fissure, unspecified | Can lead a claim | J | None |
| K60.3 Anal fistula | ||||
| K60.30 | Anal fistula, unspecified | Can lead a claim, code first applies | J | None |
| K60.31 Anal fistula, simple | ||||
| K60.311 | Anal fistula, simple, initial | Can lead a claim, code first applies | J | None |
| K60.312 | Anal fistula, simple, persistent | Can lead a claim, code first applies | J | None |
| K60.313 | Anal fistula, simple, recurrent | Can lead a claim, code first applies | J | None |
| K60.319 | Anal fistula, simple, unspecified | Can lead a claim, code first applies | J | None |
| K60.32 Anal fistula, complex | ||||
| K60.321 | Anal fistula, complex, initial | Can lead a claim, code first applies | J | None |
| K60.322 | Anal fistula, complex, persistent | Can lead a claim, code first applies | J | None |
| K60.323 | Anal fistula, complex, recurrent | Can lead a claim, code first applies | J | None |
| K60.329 | Anal fistula, complex, unspecified | Can lead a claim, code first applies | J | None |
| K60.4 Rectal fistula | ||||
| K60.40 | Rectal fistula, unspecified | Can lead a claim, code first applies | J | None |
| K60.41 Rectal fistula, simple | ||||
| K60.411 | Rectal fistula, simple, initial | Can lead a claim, code first applies | J | None |
| K60.412 | Rectal fistula, simple, persistent | Can lead a claim, code first applies | J | None |
| K60.413 | Rectal fistula, simple, recurrent | Can lead a claim, code first applies | J | None |
| K60.419 | Rectal fistula, simple, unspecified | Can lead a claim, code first applies | J | None |
| K60.42 Rectal fistula, complex | ||||
| K60.421 | Rectal fistula, complex, initial | Can lead a claim, code first applies | J | None |
| K60.422 | Rectal fistula, complex, persistent | Can lead a claim, code first applies | J | None |
| K60.423 | Rectal fistula, complex, recurrent | Can lead a claim, code first applies | J | None |
| K60.429 | Rectal fistula, complex, unspecified | Can lead a claim, code first applies | J | None |
| K60.5 Anorectal fistula | ||||
| K60.50 | Anorectal fistula, unspecified | Can lead a claim, code first applies | J | None |
| K60.51 Anorectal fistula, simple | ||||
| K60.511 | Anorectal fistula, simple, initial | Can lead a claim, code first applies | J | None |
| K60.512 | Anorectal fistula, simple, persistent | Can lead a claim, code first applies | J | None |
| K60.513 | Anorectal fistula, simple, recurrent | Can lead a claim, code first applies | J | None |
| K60.519 | Anorectal fistula, simple, unspecified | Can lead a claim, code first applies | J | None |
| K60.52 Anorectal fistula, complex | ||||
| K60.521 | Anorectal fistula, complex, initial | Can lead a claim, code first applies | J | None |
| K60.522 | Anorectal fistula, complex, persistent | Can lead a claim, code first applies | J | None |
| K60.523 | Anorectal fistula, complex, recurrent | Can lead a claim, code first applies | J | None |
| K60.529 | Anorectal fistula, complex, unspecified | Can lead a claim, code first applies | J | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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