K60.4 vs N82.3
K60.4 (Rectal fistula) compared with N82.3 (Fistula of vagina to large intestine), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. K60.4 carries an Excludes1 note covering N82.3: “rectovaginal fistula (N82.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| K60.4Rectal fistula | N82.3Fistula of vagina to large intestine | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | K00-K95 — Diseases of the Digestive System (K00-K95) | N00-N99 — Diseases of the Genitourinary System (N00-N99) |
| Definition | Rectal fistula is a non-billable ICD-10-CM category code (K60.4). | Fistula of vagina to large intestine is a billable ICD-10-CM diagnosis code (N82.3). |
| Includes | Fistula of rectum to skin | Rectovaginal fistula |
| Code first | , if applicable: Crohn's disease (K50.-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources