K62.5

K62.5: Hemorrhage of anus and rectum

Billable / specific codeICD-10-CM

K62.5 is a billable, specific ICD-10-CM code for hemorrhage of anus and rectum. It is valid for submission on a claim.

Check K62.5 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.

gastrointestinal bleeding NOS (K92.2)
melena (K92.1)
neonatal rectal hemorrhage (P54.2)

Excludes2 inherited from the categories above K62.5

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.-)

Other codes that can never be billed with K62.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

K92.2Gastrointestinal hemorrhage, unspecified

Risk adjustment

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

Medicare coverage

K62.5 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
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

BRBPR
Bright red blood per rectum(BRBPR)
Proctorrhagia
Bleeding›anal
Bleeding›rectum, rectal
Hemorrhage, hemorrhagic›anus(sphincter)
Hemorrhage, hemorrhagic›rectum(sphincter)

Code history

Unchanged in every release from FY2024 to FY2027.