Is K62.7 a billable ICD-10-CM code?

Yes. K62.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does K62.7 sit in the tabular list?

Diseases of the digestive system (K00-K95), in the block Other diseases of intestines (K55-K64).

K62.7

K62.7 — Radiation proctitis

Billable / specific codeICD-10-CM

K62.7 is a billable, specific ICD-10-CM code for radiation proctitis. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

code to identify the type of radiation (W88.-)
or radiation therapy (Y84.2)

Risk adjustment

K62.7 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

K62.7 is named in 10 Medicare coverage policies — 10 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
A57342Billing and Coding: Diagnostic and Therapeutic Colonoscopy
A57427Billing and Coding: Transrectal Ultrasound

How K62.7 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 K62.7.

Proctitis›radiation

Related codes at this level

Codes that share K62. If K62.7 is not quite right, the correct code is usually one of these.

Questions about K62.7

Is K62.7 a billable ICD-10-CM code?: Yes. K62.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does K62.7 sit in the tabular list?: Diseases of the digestive system (K00-K95), in the block Other diseases of intestines (K55-K64).