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 CodesK62.2

K62.2

Billable

Anal prolapse

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

Code Description

ICD-10 K62.2 is a billable code used to indicate a diagnosis of anal prolapse.

Key Diagnostic Point:

Anal prolapse, classified under ICD-10 code K62.2, refers to the protrusion of the rectal mucosa through the anal opening. This condition can occur due to various factors, including chronic straining during bowel movements, weakened pelvic floor muscles, or conditions that increase intra-abdominal pressure. Clinically, patients may present with symptoms such as a visible bulge during defecation, discomfort, or bleeding. The anatomy involved primarily includes the rectum and anal canal, where the mucosal layer becomes displaced. Disease progression can lead to complications such as strangulation or necrosis of the prolapsed tissue if not addressed. Diagnostic considerations include a thorough physical examination, patient history, and possibly imaging studies to assess the severity of the prolapse and rule out other gastrointestinal disorders. Treatment options range from conservative management, such as dietary modifications and pelvic floor exercises, to surgical interventions in more severe cases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other anal conditions such as hemorrhoids or rectal prolapse.
  • Treatment complexity: Management may involve both conservative and surgical approaches depending on severity.
  • Documentation requirements: Detailed clinical notes are necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate coding to reflect the specific type and severity of prolapse.

Audit Risk Factors

  • Common coding errors: Misclassification with hemorrhoids or other anal disorders.
  • Documentation gaps: Insufficient clinical details regarding the nature and severity of the prolapse.
  • Billing challenges: Potential denials if the documentation does not clearly support the diagnosis.

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 ICD-10 Codes

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

Anal prolapse can significantly affect a patient's quality of life, leading to discomfort and social embarrassment. It is essential for healthcare providers to recognize and address this condition promptly to prevent complications. The prevalence of anal prolapse varies, but it is more common in older adults and those with a history of chronic constipation or pelvic floor disorders. Understanding the epidemiology of this condition can help in developing targeted interventions and improving overall population health outcomes.

ICD-9 vs ICD-10

Anal prolapse can significantly affect a patient's quality of life, leading to discomfort and social embarrassment. It is essential for healthcare providers to recognize and address this condition promptly to prevent complications. The prevalence of anal prolapse varies, but it is more common in older adults and those with a history of chronic constipation or pelvic floor disorders. Understanding the epidemiology of this condition can help in developing targeted interventions and improving overall population health outcomes.

Reimbursement & Billing Impact

Anal prolapse can significantly affect a patient's quality of life, leading to discomfort and social embarrassment. It is essential for healthcare providers to recognize and address this condition promptly to prevent complications. The prevalence of anal prolapse varies, but it is more common in older adults and those with a history of chronic constipation or pelvic floor disorders. Understanding the epidemiology of this condition can help in developing targeted interventions and improving overall population health outcomes.

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 K62.2?

K62.2 specifically covers anal prolapse, which may include partial or complete protrusion of the rectal mucosa. It does not cover rectal prolapse or hemorrhoids, which are classified under different codes.

When should K62.2 be used instead of related codes?

K62.2 should be used when there is a clear diagnosis of anal prolapse, characterized by the protrusion of rectal tissue through the anus, distinguishing it from other anal conditions such as hemorrhoids or rectal prolapse.

What documentation supports K62.2?

Documentation should include a detailed patient history, physical examination findings, and any imaging studies performed. Notes should clearly describe the nature of the prolapse and any associated symptoms.