2026 ICD-10-CM Diagnosis Code K62.1Rectal polyp

ICD-10-CM CodesK00–K95K55-K64K62

ICD-10-CM K62.1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K62.1 is a billable ICD-10-CM diagnosis code for rectal polyp. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. Coders also document this condition as anal and rectal polyp. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Anal and rectal conditions.

Code Identity

ICD-10-CM Code
K62.1
Billable Status
Yes — Valid for Submission
Code Describes
Rectal polyp
Short Description
Rectal polyp
Same as the full description in the CMS dataset.
Parent Code
Other diseases of anus and rectum

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK55-K64Other diseases of intestines
CategoryK62Other diseases of anus and rectum
This CodeK62.1Rectal polyp

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Anal and rectal polyp
  • Anal polyp
  • Benign neoplasm of rectum
  • Rectal polyp
  • Rectal skin tag
  • Recurrent rectal polyp

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • adenomatous polyp D12.8

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Polyp, polypus
      • rectum (nonadenomatous)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG015
Anal and rectal conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K62.1 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
569.0 Anal & rectal polyp
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K62.1Overview

Is K62.1 (Other diseases of anus and rectum) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report rectal polyp on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K62.1 group to?

When rectal polyp is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K62.1?

Under the General Equivalence Mappings, rectal polyp converts to ICD-9-CM 569.0 (anal & rectal polyp). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.