2026 ICD-10-CM Diagnosis Code K62.81Anal sphincter tear (healed) (nontraumatic) (old)
ICD-10-CM Codes›K00–K95›K55-K64›K62
- Billable — Valid for Submission
- Chronic Condition
K62.81 is a billable ICD-10-CM diagnosis code for anal sphincter tear (healed) (nontraumatic) (old). 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Anal and rectal conditions.
Code Identity
Code Classification
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Tear of anus, nontraumatic
Use Additional Code
- code for any associated fecal incontinence R15
Type 2 Excludes
- anal fissure K60
- anal sphincter tear healed old complicating delivery O34.7
- traumatic tear of anal sphincter S31.831
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Tear, torn (traumatic) - See Also: Laceration;
- anus, anal (sphincter) - S31.831
- nontraumatic (healed) (old) - K62.81
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Tear, torn(traumatic)
- anus, anal (sphincter)
- nontraumatic (healed) (old)
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Anal Disorders
Your anus is the opening at the end of your large intestine. It is where stool (poop) leaves your body.
The full article covers:
- What is the anus?
- What are anal disorders?
- What are the symptoms of anal disorders?
- How are anal disorders diagnosed?
- How are anal disorders treated?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert K62.81 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About K62.81Overview
Is K62.81 (Other specified diseases of anus and rectum) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report anal sphincter tear (healed) (nontraumatic) (old) on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does K62.81 group to?
When anal sphincter tear (healed) (nontraumatic) (old) 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 K62.81?
Under the General Equivalence Mappings, anal sphincter tear (healed) (nontraumatic) (old) converts to ICD-9-CM 569.43 (anal sphincter tear-old). The mapping is a direct match.
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.
