K62.6 — Ulcer of anus and rectum
K62.6 is a billable, specific ICD-10-CM code for ulcer of anus and rectum. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Solitary ulcer of anus and rectum
- Stercoral ulcer of anus and rectum
Other codes that can never be billed with K62.6
These codes carry an Excludes1 note pointing at K62.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading K62.6 alone.
- K63.3Ulcer of intestine
Risk adjustment
K62.6 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
K62.6 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
How K62.6 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to K62.6.
- Stercoraceous, stercoral ulcer›anus or rectum
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›anorectal
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›anus(sphincter) (solitary)
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›rectum(sphincter) (solitary)
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›solitary, anus or rectum(sphincter)
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›intestine, intestinal›rectum
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›rectum›stercoraceous, stercoral
- Ulcer, ulcerated, ulcerating, ulceration, ulcerative›stercoraceous, stercoral›anus or rectum
Related codes at this level
Codes that share K62. If K62.6 is not quite right, the correct code is usually one of these.
Questions about K62.6
- Is K62.6 a billable ICD-10-CM code?
- Yes. K62.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K62.6 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Other diseases of intestines (K55-K64).
- What cannot be coded together with K62.6?
- K62.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.