ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 11: Diseases of the digestive systemK62

K62

Non-billable

Other diseases of anus and rectum

Chapter 11:Diseases of the digestive system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 K62 is a used to indicate a diagnosis of other diseases of anus and rectum.

Key Diagnostic Point:

K62 encompasses a variety of conditions affecting the anus and rectum, including anal fissures, rectal prolapse, and hemorrhoids, among others. These conditions can lead to symptoms such as pain, bleeding, and discomfort during bowel movements. The anatomy involved primarily includes the anal canal, rectum, and surrounding tissues, which are crucial for normal defecation. Disease progression can vary; for instance, anal fissures may heal spontaneously or become chronic, while rectal prolapse can worsen over time without intervention. Diagnostic considerations include a thorough patient history, physical examination, and potentially imaging studies or endoscopy to assess the extent of disease. Accurate diagnosis is essential for effective treatment planning, which may involve conservative management, surgical intervention, or pharmacotherapy depending on the severity and nature of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Conditions under K62 can have overlapping symptoms with other gastrointestinal disorders, requiring careful differentiation.
  • Treatment complexity: Management may vary from conservative measures to surgical options, necessitating a tailored approach.
  • Documentation requirements: Detailed clinical notes are essential to justify the diagnosis and treatment plan.
  • Coding specificity: While K62 covers a range of conditions, precise coding is necessary to capture the specific diagnosis.

Audit Risk Factors

  • Common coding errors: Misclassification of conditions or failure to specify the type of disease.
  • Documentation gaps: Incomplete patient histories or lack of detailed examination notes.
  • Billing challenges: Potential denials due to insufficient documentation or incorrect coding.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Colorectal Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Conditions classified under K62 can significantly affect patient quality of life, leading to discomfort and potential complications if left untreated. The prevalence of these conditions in the population highlights the importance of effective management and treatment strategies. Understanding the epidemiology of these diseases can aid in developing targeted public health initiatives aimed at prevention and early intervention, ultimately improving healthcare utilization patterns.

ICD-9 vs ICD-10

Conditions classified under K62 can significantly affect patient quality of life, leading to discomfort and potential complications if left untreated. The prevalence of these conditions in the population highlights the importance of effective management and treatment strategies. Understanding the epidemiology of these diseases can aid in developing targeted public health initiatives aimed at prevention and early intervention, ultimately improving healthcare utilization patterns.

Reimbursement & Billing Impact

Reimbursement considerations include understanding payer policies regarding the treatment of anal and rectal conditions, as some may require prior authorization for surgical interventions. Regular audits of coding practices can help mitigate risks associated with billing errors.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for K00-K99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by K62?

K62 includes conditions such as anal fissures, rectal prolapse, rectal bleeding, and other unspecified diseases of the anus and rectum. Each condition has specific diagnostic criteria, often requiring clinical examination and sometimes imaging studies.

When should K62 be used instead of related codes?

K62 should be used when the condition specifically pertains to diseases of the anus and rectum that do not fall under more specific codes like K60 for hemorrhoids or K61 for abscesses. Accurate differentiation is key to proper coding.

What documentation supports K62?

Documentation should include a detailed patient history, physical examination findings, any diagnostic tests performed, and a clear treatment plan. This information is crucial for justifying the use of K62 in billing and coding.