K62.81
K62.81: Anal sphincter tear (healed) (nontraumatic) (old)
Billable / specific codeICD-10-CM
K62.81 is a billable, specific ICD-10-CM code for anal sphincter tear (healed) (nontraumatic) (old). It is valid for submission on a claim.
Check K62.81 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
- code for any associated fecal incontinence (R15.-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Tear of anus, nontraumatic
Excludes2 inherited from the categories above K62.81
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
K62.81 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A57342Billing and Coding: Diagnostic and Therapeutic Colonoscopy
Alphabetic index entries that lead here
- Tear, torn›anus, anal›nontraumatic(healed) (old)
Code history
Unchanged in every release from FY2024 to FY2027.