K59.4

K59.4: Anal spasm

Billable / specific codeICD-10-CM

K59.4 is a billable, specific ICD-10-CM code for anal spasm. It is valid for submission on a claim.

Check K59.4 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Proctalgia fugax

Excludes1 inherited from the categories above K59.4

A category’s note binds every code beneath it.

Written on K59: Other functional intestinal disorders

change in bowel habit NOS (R19.4)
intestinal malabsorption (K90.-)
psychogenic intestinal disorders (F45.8)

Excludes2 inherited from the categories above K59.4

Not part of this code, but both may be coded when both are present.

Written on K59: Other functional intestinal disorders

functional disorders of stomach (K31.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

K59.4 is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A55937Billing and Coding: Diagnostic Colonoscopy
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

Proctospasm
Proctalgia›fugax
Proctalgia›spasmodic
Spasm, spastic, spasticity›anus, ani(sphincter) (reflex)
Spasm, spastic, spasticity›rectum(sphincter)

Code history

Unchanged in every release from FY2024 to FY2027.