Is ICD-10-CM code K62 billable?

No, K62 (Other diseases of anus and rectum) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code K62 belong to?

K62 belongs to Chapter 11 of the ICD-10-CM tabular list: K00–K95 (Diseases of the Digestive System).

K62Not billable, use a more specific code below

Other diseases of anus and rectum

In Other diseases of intestines (K55-K64), chapter 11: Diseases of the Digestive System

12 billable codes under K62: 2 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Includes: conditions that are coded here

anal canal

Excludes2: not included here, code separately if applicable

colostomy and enterostomy malfunction (K94.0-, K94.1-)
fecal incontinence (R15.-)
hemorrhoids (K64.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 11 yet, so the general rules in Section I.B apply.

Read Section I.C.11 (page 58)

All codes under K62

K62 can't be used on a claim. Pick a billable code below; grey headings group them.

K62 MS-DRGs

As the principal diagnosis, the billable codes under K62 group to these 8 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 393 Other Digestive System Diagnoses with MCC (11 of 12 codes)
DRG 394 Other Digestive System Diagnoses with CC (11 of 12 codes)
DRG 395 Other Digestive System Diagnoses without CC/MCC (11 of 12 codes)
DRG 377 Gastrointestinal Hemorrhage with MCC (1 of 12 codes)
DRG 378 Gastrointestinal Hemorrhage with CC (1 of 12 codes)
DRG 379 Gastrointestinal Hemorrhage without CC/MCC (1 of 12 codes)
DRG 791 Prematurity with Major Problems (1 of 12 codes)
DRG 793 Full Term Neonate with Major Problems (1 of 12 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Anal Disorders

Your anus is the opening at the end of your large intestine. It is where stool (poop) leaves your body. Problems with the anus are common. They include:

Rectal Disorders

The rectum is the lower part of your large intestine where your body stores stool. Problems with the rectum are common. They include hemorrhoids, abscesses, incontinence and cancer.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.