K62.81 — Anal sphincter tear (healed) (nontraumatic) (old)
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.
Excludes2 — 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
Risk adjustment
K62.81 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
K62.81 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A57342Billing and Coding: Diagnostic and Therapeutic Colonoscopy
How K62.81 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 K62.81.
- Tear, torn›anus, anal›nontraumatic(healed) (old)
Related codes at this level
Codes that share K62.8. If K62.81 is not quite right, the correct code is usually one of these.
Questions about K62.81
- Is K62.81 a billable ICD-10-CM code?
- Yes. K62.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does K62.81 sit in the tabular list?
- Diseases of the digestive system (K00-K95), in the block Other diseases of intestines (K55-K64).