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.

Check K62.7 with the rest of the claim: free scrubber

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)

Excludes2 inherited from the categories above K62.7

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

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

Alphabetic index entries that lead here

Proctitis›radiation

Code history

Unchanged in every release from FY2024 to FY2027.