K62.1

K62.1: Rectal polyp

Billable / specific codeICD-10-CM

K62.1 is a billable, specific ICD-10-CM code for rectal polyp. It is valid for submission on a claim.

Check K62.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

adenomatous polyp (D12.8)

Excludes2 inherited from the categories above K62.1

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

Written on K62: Other diseases of anus and rectum

colostomy and enterostomy malfunction (K94.0-, K94.1-)
fecal incontinence (R15.-)
hemorrhoids (K64.-)

Risk adjustment

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

Medicare coverage

K62.1 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55937Billing and Coding: Diagnostic Colonoscopy
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

Polyp, polypus›rectum(nonadenomatous)

Code history

Unchanged in every release from FY2024 to FY2027.