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ICD-10 Guide
ICD-10 CodesK62.82

K62.82

Billable

Dysplasia of anus

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

Code Description

ICD-10 K62.82 is a billable code used to indicate a diagnosis of dysplasia of anus.

Key Diagnostic Point:

Dysplasia of the anus refers to abnormal cellular changes in the anal epithelium, which can be a precursor to anal cancer. Clinically, patients may present with symptoms such as anal discomfort, bleeding, or changes in bowel habits. The anatomy involved includes the anal canal and surrounding tissues, which are lined by squamous epithelium. Dysplastic changes can arise from various etiologies, including chronic irritation, human papillomavirus (HPV) infection, and inflammatory conditions. Disease progression may lead to more severe dysplastic changes and potentially invasive carcinoma if left untreated. Diagnostic considerations include a thorough clinical examination, histopathological evaluation via biopsy, and possibly imaging studies to assess for any associated lesions. Regular screening and monitoring are crucial, especially in high-risk populations, such as those with a history of HPV-related diseases or immunocompromised states.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires histological confirmation and differentiation from other anal conditions.
  • Treatment complexity: May involve surgical intervention, topical therapies, or surveillance.
  • Documentation requirements: Detailed clinical notes and pathology reports are essential.
  • Coding specificity: Requires precise coding to differentiate from other anal disorders.

Audit Risk Factors

  • Common coding errors: Misclassification with benign anal conditions.
  • Documentation gaps: Incomplete pathology reports or lack of clinical correlation.
  • Billing challenges: Denials may occur if the necessity for biopsy or treatment is not well documented.

Specialty Focus

Medical Specialties

Primary medical specialty: 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

Secondary specialty: Oncology

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

Dysplasia of the anus has significant clinical implications, particularly as it can progress to anal cancer if not identified and managed appropriately. The population health impact is notable, especially in high-risk groups such as individuals with HPV infections or those with a history of anal dysplasia. Quality measures may include regular screening and follow-up for patients diagnosed with dysplasia, which can lead to improved healthcare utilization patterns and better outcomes. Epidemiologically, understanding the prevalence and risk factors associated with anal dysplasia can aid in developing targeted prevention strategies.

ICD-9 vs ICD-10

Dysplasia of the anus has significant clinical implications, particularly as it can progress to anal cancer if not identified and managed appropriately. The population health impact is notable, especially in high-risk groups such as individuals with HPV infections or those with a history of anal dysplasia. Quality measures may include regular screening and follow-up for patients diagnosed with dysplasia, which can lead to improved healthcare utilization patterns and better outcomes. Epidemiologically, understanding the prevalence and risk factors associated with anal dysplasia can aid in developing targeted prevention strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of biopsy and treatment interventions. Common denials may arise from insufficient documentation of the diagnosis or lack of supporting clinical evidence. It is essential to ensure that all relevant clinical notes, pathology reports, and treatment plans are included in the patient's medical record to support the billing process. Adhering to coding best practices, such as using the most specific code available and ensuring accurate documentation, can help mitigate billing challenges.

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 K62.82?

K62.82 covers dysplastic changes in the anal epithelium, which may include mild to severe dysplasia. It is important to differentiate these changes from benign conditions and anal cancer.

When should K62.82 be used instead of related codes?

K62.82 should be used when there is documented evidence of dysplastic changes confirmed by biopsy, particularly when differentiating from other anal lesions such as hemorrhoids or fissures.

What documentation supports K62.82?

Documentation should include a detailed clinical history, results of any imaging studies, and pathology reports confirming the presence and degree of dysplasia.