Coding and coverage · ICD-10-CM

K62 › K62.8

K62.81 Anal sphincter tear (healed) (nontraumatic) (old)

BillableNo payment HCCChapter 11
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Instructional notes

Chapter 11

Excludes2Not included here: the patient may have both; report both when both are present.
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

K62

Excludes2Not included here: the patient may have both; report both when both are present.
Includes
  • anal canal

K62.8

Excludes2Not included here: the patient may have both; report both when both are present.
  • ulcerative proctitis (K51.2)

This code

Excludes2Not included here: the patient may have both; report both when both are present.
  • anal fissure (K60.-)
  • anal sphincter tear (healed) (old) complicating delivery (O34.7-)
  • traumatic tear of anal sphincter (S31.831)
Use additional codeAdd a second code for the full picture.
  • code for any associated fecal incontinence (R15.-)
Inclusion terms
  • Tear of anus, nontraumatic

Chapter 11: Diseases of the digestive system · K55-K64 Other diseases of intestines (K55-K64)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.