K62.6
K62.6: Ulcer of anus and rectum
Billable / specific codeICD-10-CM
K62.6 is a billable, specific ICD-10-CM code for ulcer of anus and rectum. It is valid for submission on a claim.
Check K62.6 with the rest of the claim: free scrubberExcludes1: 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
Their own Excludes1 notes name this code, so the conflict is not listed above.
- K63.3Ulcer of intestine
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K62.6 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
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.