K62.3

K62.3: Rectal prolapse

Billable / specific codeICD-10-CM

K62.3 is a billable, specific ICD-10-CM code for rectal prolapse. It is valid for submission on a claim.

Check K62.3 with the rest of the claim: free scrubber

Inclusion terms

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

Prolapse of rectal mucosa

Excludes2 inherited from the categories above K62.3

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

K62.3 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A55937Billing and Coding: Diagnostic Colonoscopy
A57342Billing and Coding: Diagnostic and Therapeutic Colonoscopy
A57595Billing and Coding: Pelvic Floor Dysfunction: Anorectal Manometry and EMG
A58428Billing and Coding: Diagnostic Colonoscopy

Alphabetic index entries that lead here

Proctoptosis
Proctocele›male
Prolapse, prolapsed›rectum(mucosa) (sphincter)
Rectocele›male

Code history

Unchanged in every release from FY2024 to FY2027.